How Are HSA Distributions Reported? - Understanding HSA Withdrawals

Health Savings Accounts (HSAs) are a valuable tool for saving and paying for medical expenses tax-free. When it comes to taking money out of your HSA, understanding how distributions are reported is essential.

When you make a withdrawal from your HSA, it's important to know how the distribution is reported to ensure you follow IRS guidelines and avoid any penalties or taxes. Here's how HSA distributions are reported:

  • Form 1099-SA: Your HSA administrator will send you a Form 1099-SA by January 31st of the following year if you took any distributions during the previous tax year.
  • Box 1 - Gross Distribution: This box on Form 1099-SA shows the total amount withdrawn from your HSA during the year.
  • Box 2 - Earnings on Excess Contributions: If you withdrew any earnings on excess contributions, it will be reported in this box.
  • Box 3 - Transfer or Rollover: Any transfers or rollovers to another HSA are reported here.
  • Box 4 - Fair Market Value: This box reports the fair market value of your HSA as of December 31st of the previous year.

It's important to report your HSA distributions accurately on your tax return to avoid any issues with the IRS. By understanding how HSA distributions are reported, you can ensure that you stay compliant with tax regulations and maximize the benefits of your HSA.


Understanding how HSA distributions are reported is crucial for making the most of your Health Savings Account, which allows you to save on taxes while paying for qualified medical expenses.

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