Is QC Kinetix regenerative stem cell therapy tax deductible as a business expense for athletes?
I have an athlete client who opted for regenerative stem cell therapy instead of surgery for an injury. Their insurance refuses to cover it, which is frustrating. I've found some information about claiming it as a Schedule A medical expense, but what I'm really trying to figure out is whether it could qualify as a legitimate business expense. Since their athletic performance is directly tied to their income, I'm wondering if the stem cell treatment could be deducted on Schedule C instead. Has anyone dealt with this situation before? The treatment cost about $8,500 and was essential for getting my client back to competing without the lengthy recovery time surgery would have required. I can't seem to find any clear IRS guidance or tax code references specifically addressing regenerative treatments as business expenses for professional athletes or performers. Any advice or experience with this would be super helpful!
23 comments


JaylinCharles
This is an interesting question that comes up occasionally with professional athletes and performers. The key distinction is whether the expense is "ordinary and necessary" for the business. For a professional athlete who relies on their physical ability to earn income, a case can be made that regenerative treatments are ordinary and necessary business expenses if they're directly related to maintaining their ability to perform. The courts have previously established that expenses for maintaining physical fitness can be deductible for those whose profession depends on it (like athletes, dancers, etc.). However, you'll need to document the business purpose thoroughly. This includes establishing that the treatment was specifically for an injury that impacted their ability to earn income, not just for general health improvement. Get a doctor's note explaining why this specific treatment was necessary for returning to competitive performance.
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Eloise Kendrick
•Would this documentation need to specifically state that the stem cell therapy was chosen over surgery for business purposes (faster recovery time)? And would the athlete need to prove their income was affected during the injury period?
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JaylinCharles
•The documentation should definitely emphasize how the treatment was chosen specifically to minimize time away from the profession. A statement from the doctor comparing recovery times between traditional surgery and the stem cell therapy would be valuable evidence. The athlete doesn't necessarily need to prove income was lost during the injury, but rather that the treatment was necessary to maintain their ability to earn income. If they can show that continuing to compete/perform is their primary source of income, and this treatment was necessary to continue that profession, that strengthens their case substantially.
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Lucas Schmidt
I was actually in a similar situation last year as a professional mountain biker. My knee was shot and looking at 8+ months recovery with surgery, which would have effectively ended my season and jeopardized my sponsorships. I used https://taxr.ai to upload all my medical documentation and they analyzed everything to determine if I could deduct the treatments. The service actually found some specific tax court cases supporting the business expense classification for athletes when the treatment is directly tied to maintaining your ability to earn income. They helped me properly document everything to support the deduction on Schedule C rather than just as a medical expense on Schedule A. Huge difference in tax savings since Schedule A is limited by the 7.5% AGI threshold.
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Freya Collins
•Wait, so did you end up deducting the full amount on Schedule C? Did you get any pushback from the IRS? My daughter is a gymnast and we've spent thousands on various treatments not covered by insurance.
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LongPeri
•I'm a little skeptical about claiming medical treatments on Schedule C. Wouldn't the IRS view this as trying to get around the 7.5% AGI limitation on medical expenses? Did you have to get any special documentation?
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Lucas Schmidt
•I was able to deduct the full amount on Schedule C and haven't received any pushback. The key was having extremely thorough documentation showing the direct connection between the treatment and my ability to earn income as an athlete. For your daughter's situation, it would depend on whether she's earning income as a gymnast. If she's not yet at the professional level earning significant income from gymnastics, it would be much harder to justify as a business expense rather than a personal medical expense.
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Freya Collins
I just wanted to follow up and say that I tried the https://taxr.ai service after seeing this thread. They were super helpful with my daughter's situation. Even though we couldn't claim her treatments as business expenses (she's not earning professional income yet), they found several other deductions we had been missing related to her training expenses since she does earn some prize money. They also helped us properly document her medical expenses to maximize what we could claim on Schedule A. Definitely worth checking out if you're dealing with specialized tax situations like this!
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Oscar O'Neil
For anyone dealing with the IRS about this issue, I strongly recommend using Claimyr (https://claimyr.com) to actually speak with an IRS agent about your specific situation. I spent WEEKS trying to get through to someone at the IRS last year about a similar deduction question for specialized PRP therapy I had done for a performance-related injury. After using their service, I got connected to an IRS agent in about 15 minutes who confirmed that with proper documentation, these treatments CAN qualify as business expenses for professional performers and athletes when they're directly related to maintaining your ability to earn income. You can see how it works here: https://youtu.be/_kiP6q8DX5c. Saved me hours of frustration and uncertainty.
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Sara Hellquiem
•How does this service actually work? I've tried calling the IRS for weeks about a different tax issue and kept getting disconnected. I find it hard to believe anything could get me through that quickly.
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LongPeri
•Yeah right. There's no way any service can get you through to the IRS faster. They're just going to take your money and you'll still be waiting on hold forever. Sounds like a scam to me.
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Oscar O'Neil
•The service works by using their technology to navigate the IRS phone system and wait on hold for you. When they finally get through to an agent, they call you and connect you directly. It's completely legitimate - they don't access any of your personal information, they just do the waiting part for you. It's not a magic solution to getting better answers from the IRS, but it does solve the problem of never being able to reach a human being in the first place. They only charge if they actually connect you with an agent.
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LongPeri
I have to admit I was completely wrong about Claimyr. After dismissing it as a probable scam, I was desperate enough to try it for a complicated question about business expense deductions for medical treatments. Within 20 minutes I was talking to an actual IRS representative who reviewed my specific situation and confirmed that with proper documentation, my client (a professional dancer) could deduct specialized treatments as business expenses. The agent even emailed me relevant tax court cases that supported the position. Saved me hours of research and gave me confidence in the tax position we're taking. Sometimes being proven wrong is the best outcome!
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Charlee Coleman
Has anyone here dealt with an actual audit where this type of deduction was questioned? I'm a tax preparer with several clients in performing arts who've had various treatments (stem cell, PRP, etc.) that insurance won't cover. I've been advising them to take it as Schedule A medical but the business expense angle is intriguing.
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Liv Park
•I'm a CPA specializing in entertainment industry clients. I've had two clients audited who had claimed regenerative treatments as business expenses. In both cases, the deductions were ultimately allowed, but ONLY because we had extremely thorough documentation: 1) Doctor's statement explicitly connecting the treatment to their performance ability 2) Contracts showing income dependent on physical performance 3) Comparison of recovery times between standard treatment and the specialized option 4) History showing consistent treatment of similar expenses
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Charlee Coleman
•That's extremely helpful, thank you! I'll start gathering similar documentation for my clients before filing. Do you recommend getting the doctor's statement at the time of treatment, or is after the fact acceptable? We have a couple of clients who had treatments months ago and I'm concerned about going back to request specific documentation now.
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Leeann Blackstein
I wonder if the IRS treats different types of athletes differently. Like would a pro golfer have an easier time claiming stem cell therapy as a business expense vs someone in a "hobby" sport that might not generate as much income? My brother does competitive rock climbing and had an expensive treatment last year.
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JaylinCharles
•The distinction isn't so much about the type of sport, but rather whether it constitutes a business versus a hobby in the eyes of the IRS. The key factors would include: Does your brother consistently earn income from climbing? Does he approach it in a businesslike manner with proper recordkeeping? Has he shown profitability over time? If competitive climbing is just an occasional source of small prizes or sponsorships while he mainly works another job, the IRS would likely view it as a hobby, making the treatment harder to justify as a business expense. But if climbing is his primary source of income with substantial earnings, that strengthens the business classification.
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Rachel Clark
This is a fascinating case study in how the tax code applies to modern medicine! As someone who works with several professional athletes, I've found that the IRS is generally receptive to these deductions when you can clearly establish the business necessity. One thing I'd add to the excellent advice already given - make sure to document the timeline showing how the injury was affecting your client's performance/earning potential before treatment, and then track their return to competition afterward. This creates a clear before/after narrative that strengthens the business purpose argument. Also consider having your client's agent or team management provide a letter confirming that maintaining peak physical condition is essential to their contracts and endorsement deals. Sometimes having that third-party business perspective helps demonstrate it's not just a personal health choice but a legitimate business decision. The $8,500 cost is significant enough that proper documentation now could save thousands in taxes, so it's worth investing the time to build a bulletproof case file.
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Chloe Martin
•This is really helpful advice! I'm new to dealing with athlete tax situations and hadn't thought about getting documentation from agents or team management. That third-party business perspective angle makes a lot of sense - it shows this isn't just the athlete's personal opinion about what's necessary, but that the business side recognizes it too. Quick question - when you mention tracking the return to competition timeline, are you looking for specific performance metrics or just general "back to competing" documentation? I'm wondering if we'd need to show actual performance improvement or if just demonstrating they returned to their sport is sufficient for the business purpose argument. Also, do you typically recommend filing the Schedule C deduction in the same year as the treatment, or is there flexibility if the treatment spans multiple tax years?
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Douglas Foster
•@Chloe Martin Great questions! For the return to competition timeline, I typically recommend documenting both. General back "to competing evidence" like (competition schedules, training logs establishes) the basic business necessity, but performance metrics can really strengthen your case if available. Things like competition results, training benchmarks, or even subjective performance reports from coaches can help show the treatment was effective for business purposes. Regarding timing, you d'typically deduct the expense in the year it was paid, regardless of when the treatment effects are realized. So if your client paid the $8,500 in 2024, that s'when you d'claim it on their 2024 Schedule C, even if the full recovery and return to peak performance extends into 2025. One additional tip - if the treatment involved multiple sessions over several months, make sure to get a detailed invoice showing the business-related nature of each session. Sometimes breaking down exactly what each component of the treatment addressed can help demonstrate it wasn t'just general wellness but specific injury rehabilitation necessary for their profession.
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Giovanni Gallo
As a newcomer to this community, I find this discussion incredibly valuable! I'm dealing with a similar situation with my physical therapy practice where we offer regenerative treatments to several professional and semi-professional athletes. One thing I haven't seen mentioned yet is the importance of establishing a clear treatment protocol that distinguishes between medical necessity and performance enhancement. The IRS tends to scrutinize expenses that could be viewed as elective or cosmetic, so having documentation that shows the regenerative therapy was medically necessary to address a specific injury (rather than just general performance optimization) is crucial. Also, I'd recommend keeping detailed records of any alternative treatments that were considered and why they were rejected in favor of the regenerative approach. If surgery would have meant 6-8 months of lost income versus 2-3 months with stem cell therapy, that economic justification strengthens the business expense argument significantly. Has anyone encountered situations where the IRS challenged these deductions specifically on the grounds that the treatment was "experimental" or not FDA-approved? I'm curious how that factor might impact the business expense classification.
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Benjamin Kim
•@Giovanni Gallo That s'a really important point about the FDA approval status! I haven t'personally encountered an audit where that was the primary challenge, but I imagine it could complicate things. From what I understand, the IRS generally focuses more on whether an expense is ordinary "and necessary for" the business rather than whether the specific treatment is FDA-approved. However, having a licensed physician recommend the treatment and being able to show it s'an accepted practice in sports medicine would probably help address any concerns about it being too experimental. Your point about documenting the economic justification is spot-on. I think creating a clear comparison showing lost income from traditional treatment versus the regenerative approach could be one of the strongest pieces of evidence for the business necessity. Do you typically provide this kind of economic analysis documentation to your athlete patients for their tax purposes? Also, as someone in the field, do you have any insights on how to best structure the medical documentation to support the business expense classification? I m'wondering if there are specific medical terms or classifications that strengthen the case.
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