HSA Tax Form: A Guide to IRS Form 1099-SA-2025

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You must report distributions from your HSA on IRS Form 8889. You will receive a separate 1099-SA for each type of distribution made during the tax year. The five distribution types are 1) normal; 2) excess contribution removal; 3) death; 4) disability; and 5) prohibited transaction.
Youll get Form 1099-SA if you used funds in your Health Savings Account (HSA) or a Medical Savings Account (MSA) to pay for health care expenses.
The 1099-SA shows distributions, and the 5498-SA shows contributions. Both documents will be available in your online account by mid-February. You can save and print the documents when you view them in your online account.
However, if your 1099-SA indicates you did not use the distribution for qualified medical expenses, you will pay income tax on the portion you used for nonqualified expenses. You report the taxable amount on the other income line of your tax return and write HSA beside it.
If Form 1099-S was for the sale of business or rental property, then its reportable on Form 4797 Sales of Business Property and Schedule D.
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Information from Form 1099-SA is reported on either Form 8853 or Form 8889. Unused distributions from an HSA must be reported as income.
Form 1099-SA form is sent to individual taxpayers who receive distributions from health savings, medical savings, and Medicare Advantage accounts. Information from Form 1099-SA is reported on either Form 8853 or Form 8889. Unused distributions from an HSA must be reported as income.
Form 1099-SA reports distributions from health savings accounts and medical savings accounts. Withdrawals from these accounts are tax-free if used for qualified expenses. Nonqualified expenses are subject to income tax plus additional tax.

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