How Are HSA Contributions and Distributions Reported? - A Complete Guide

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while enjoying tax benefits. When it comes to reporting HSA contributions and distributions, it's essential to understand the proper forms and procedures involved.

Contributions to an HSA are typically reported using Form 8889, while distributions are reported on Form 1099-SA and Form 5498-SA. Here's a breakdown of how HSA contributions and distributions are reported:

  • HSA Contributions:
    • Contributions made by an individual or their employer are reported on Form 8889.
    • Employer contributions are also included in Box 12 of the individual's W-2 form.
  • HSA Distributions:
    • When you make qualified medical expenses withdrawals, the financial institution will issue Form 1099-SA at the end of the year.
    • Form 5498-SA reports contributions, rollovers, and fair market value of the HSA.

It's crucial to keep accurate records of HSA contributions and distributions to ensure compliance with IRS regulations. Understanding how to report contributions and distributions properly can help you maximize the benefits of your HSA.


Health Savings Accounts (HSAs) stand out as a unique way to manage healthcare costs while enjoying substantial tax advantages. To accurately report your HSA contributions and distributions, it’s crucial to familiarize yourself with the necessary forms and guidelines. 

HSA contributions by individuals and their employers are documented primarily on Form 8889, whereas HSA distributions for qualified medical withdrawals are reported on both Form 1099-SA and Form 5498-SA. Let's dive deeper into how each is reported:

  • HSA Contributions:
    • Individual contributions and those made by employers find their place on Form 8889.
    • Notably, employer contributions also appear in Box 12 of your W-2, making it easier to track your HSA savings.
  • HSA Distributions:
    • When you withdraw funds for qualified medical expenses, you’ll receive Form 1099-SA from your financial institution, summarizing these transactions.
    • Meanwhile, Form 5498-SA provides an overview of contributions, rollovers, and the HSA’s fair market value, ensuring complete transparency.

Maintaining precise records of your contributions and distributions is not just about compliance with IRS rules; it’s about making the most out of your HSA. By understanding the reporting process, you empower yourself to maximize the advantageous features of your Health Savings Account.

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