Tax for nutrition practices
A CPA for registered dietitians
A nutrition practice often earns from counseling, a course, a membership and affiliate arrangements at the same time. They are taxed differently, sourced differently, and only one of them looks like clinical income.
Where this return differs
What is actually different about registered dietitians at tax time
Not a longer version of the same advice. These are the places this practice type reliably differs from the return next to it.
Course and membership income is not counseling income
A recorded course sold to buyers anywhere is a different revenue stream from one to one counseling, with different sourcing and, in some states, different tax treatment for digital products. It also changes whether all of your income sits in a specified service field.
Affiliate and sponsorship income arrives on its own forms
Affiliate payouts, brand partnerships and platform revenue come with their own reporting, frequently on forms that do not match what you recorded. Reconciling them is what prevents a notice.
Counseling across state lines creates filing questions
Telehealth nutrition counseling reaches clients wherever they are, and the resulting state obligations do not follow your license.
How it works
What working together looks like
A call first
Thirty minutes to hear what you have and whether this is a fit. If it is not, we will say so and point you somewhere useful.
A written scope and a fixed fee
You get both in writing before work starts, so the return you expected does not arrive with an hourly surprise attached.
Documents through a secure portal
Upload once, in one place, rather than emailing a K-1 with your Social Security number sitting in the attachment.
The questions, while they still matter
Anything that changes your number gets raised when it can still be acted on, not in a footnote after filing.
Then the next twelve months
Estimated payments, an entity change, a new state, a sale. Tax years are consecutive and treating them that way is most of the value.
What this firm does, and what it does not
PizzelloCPA, PLLC is a licensed CPA firm registered with the North Carolina State Board of Certified Public Accountant Examiners as firm no. 35339. It prepares returns and does tax planning. It does not perform attest services: no audit, no review, no compilation. If a lender or a landlord has asked you for an audited or reviewed financial statement, that is a different engagement at a different firm, and we will say so rather than stretch to fit it.
Books and the return are two different jobs. bookkeepz, LLC, an affiliated company, keeps monthly books for registered dietitians and other private practices, and its bookkeeping page for registered dietitians covers that side. bookkeepz is not a CPA firm and does not do tax work. Most clients who need both use both, under separate engagements.
Questions
What registered dietitians ask
I sell a course as well as seeing clients. Does that change my return?
It can. Product income and clinical service income are not always treated the same way, including for the QBI deduction, and separating them cleanly during the year is what makes that determination possible at filing.Do I owe tax in states where my course buyers live?
Income tax and sales tax on digital products are separate questions and both are state specific. Volume and where buyers sit both matter, which is why it is worth looking at before it accumulates.Should I form an S corporation?
It is worth running once profit is consistent. What a defensible salary looks like for a practice that is part clinical and part product is part of that analysis, not an afterthought.Do you do the bookkeeping?
No. This firm does the return and the planning. bookkeepz, LLC, an affiliated company, does the monthly books and is not a CPA firm.Talk to a CPA who has seen this practice before
Thirty minutes, no charge. Bring last year’s return and the thing you were not sure about.