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Level 3
March 28, 2026

Is pay for caring for a sick spouse subject to SE tax?

  • March 28, 2026
  • 3 replies
  • 12 views

My client received a Form 1099-NEC for pay she received for the care of her spouse. I know it is taxable income but I'm not sure about self-employment tax.  She is not in a business, therefore no self-employment tax. Am I correct?

    3 replies

    Intuit Community Champion
    March 28, 2026

    Who was the 1099-NEC from? An insurance company, short-term disability...? IHSS will let you exclude the income from income tax for medical care of certain family members in your home (Notice 2014-7), but that usually doesn't get reported on a 1099-NEC.

    There might be some exceptions based on the insurance/pay arrangement, but it sounds subject to SE tax to me.

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    George4Tacks
    Level 15
    March 28, 2026

    Does IRS Notice 2014-7 apply? 

    Answers are easy. Questions are hard!
    Intuit Community Champion
    March 29, 2026