Health Savings Accounts (HSAs) have become a cornerstone in personal finance, offering tax advantages for medical expenses. But what if we told you that HSAs could be a meaningful change for real estate investors? In this blog, we will unravel the connections between HSAs and real estate, highlighting how these accounts can elevate financial well-being in property investments.

  • Real estate investors can optimize portfolios by contributing rental income to HSAs for tax efficiency.
  • The IRS allows flexibility in HSA contributions, including qualifying rental income. Strategically contributing rental income to HSAs reduces taxable income, resulting in significant tax savings.
  • Investors must be aware of annual contribution limits, deadlines, and avoid prohibited transactions.  
  • Strategies for real estate investors include using funds for preventive care, maximizing tax efficiency, and strengthening financial preparedness for emergencies.  
  • HSAs provide flexibility, portability, and investment opportunities, in contrast to employer-sponsored FSAs with fixed contributions, limited flexibility, and no investment options.

How an HSA Works:

To qualify for a Health Savings Account (HSA), individuals must meet eligibility criteria outlined by the Internal Revenue Service (IRS). Eligible individuals must have:

  • a qualified High-Deductible Health Plan (HDHP)
  • possess no other health coverage.
  • not be enrolled in Medicare and  
  • not be claimed as dependent on someone else's tax return.

In 2023, High Deductible Health Plans (HDHPs) with higher deductibles offer a cost-conscious approach to healthcare. Paired with lower premiums and compatible with Health Savings Accounts (HSAs), HDHPs empower individuals to control expenses, providing a viable option for upfront cost savings and future medical needs.

Further, the maximum Health Savings Account (HSA) contributions have seen a welcomed increase in 2023, with individuals now able to contribute up to $3,850 (up from $3,650 in 2022), and families enjoying a higher limit of $7,750 (compared to $7,300 in the previous year). These contribution limits encompass both employer and employee contributions. For those aged 55 or older, the opportunity for additional catch-up contributions remains, allowing them to contribute up to an extra $1,000.

HSA accounts, designated for cash contributions, can be established at specific financial institutions. Notably, contributions to employer-sponsored plans can originate from both employees and employers, and eligible individuals can also receive contributions from family members. Self-employed or unemployed individuals meeting eligibility criteria can actively contribute to their HSAs.  

However, it is important to note that individuals enrolled in Medicare, while unable to make additional contributions, can still leverage the benefits of tax-free distributions for qualified medical expenses.

What is the Difference between HSA and an FSA?

The Health Savings Account (HSA) and Flexible Spending Account (FSA) are often compared due to their common purpose of covering medical expenses, yet notable distinctions exist between the two in terms of structure and flexibility.  

Key Differences:
  1. Ownership and Portability: HSA accounts are not limited to employer sponsorship; individuals can open them independently and offer portability across employers, with funds persisting even if the individual changes jobs. FSAs, however, are exclusively employer-sponsored plans, limiting participation to employed individuals.  
  2. Contribution Flexibility: HSA contributors can adjust their contributions throughout the year, while FSA contributions are fixed at the beginning of the plan year, with limited changes except in cases of qualifying events.  
  3. Investment Opportunities: HSAs offer the potential for investment, allowing individuals to grow their funds over the long term by investing in mutual funds. FSAs typically do not provide investment options.  
  4. Time Flexibility: HSAs have no "use-it-or-lose-it" provision; unspent funds remain in the account indefinitely, providing flexibility for reimbursement over an unlimited time. FSAs require receipts to be submitted by a deadline for expense substantiation.  

Contributions from Rental Income

Real estate investors are continually exploring ways to enhance the tax efficiency of their investment strategies. One innovative approach gaining attention is the utilization of rental income to contribute to Health Savings Accounts (HSAs). A Health Savings Account (HSA) is a special type of savings account that allows individuals to set aside money on a pre-tax basis to pay for qualified medical expenses. It is typically paired with a high-deductible health insurance plan. HSA contributions are associated with earned income; however, the IRS permits contributions from various sources, opening an avenue for investors to optimize their financial portfolios.

IRS Guidelines: Highlighting Flexibility in Income Sources
  • Eligibility Criteria: The IRS requires individuals to have coverage under a High-Deductible Health Plan (HDHP) to contribute to an HSA. While employment income is common, the IRS does not explicitly limit contributions to earned income. Therefore, rental income qualifies as a legitimate source for HSA contributions.
  • Tax Deductibility: HSA contributions, regardless of income source, are tax-deductible up to the IRS limits, set at $3,850 for individuals and $7,750 for family HDHP coverage in 2023. This allows individuals contributing from rental income to deduct the contributed amount from their taxable income, serving as a key incentive for investors aiming to optimize their tax position.
  • Employer-Sponsored HSAs: In employer-sponsored HSA programs, confirming the allowance of rental income contributions is crucial. Employer-specific rules may apply, highlighting the need for clarity. When employer policies support diverse contribution sources, individuals can strategically leverage rental income. Adhering to employer guidelines prevents discrepancies and ensures regulatory compliance.
Tax Efficiency: Contributing Rental Income to Lower Taxable Income
  • Reducing Taxable Income: Using rental income for HSA contributions is a strategic tax tool for real estate investors, providing significant savings for those in higher tax brackets. Profits within the HSA remain untaxed until withdrawal, and funds can be used for eligible medical expenses with penalty-free and tax-free withdrawals at any time.
  • Quick Tax Savings: Contributing rental income to an HSA immediately reduces taxable income, providing instant tax savings in the same year. This dynamic tax planning tool enhances cash flow, offering investors tangible and immediate benefits for strategic financial flexibility.
Limits and Regulations: Staying Within IRS Guidelines
  • Annual Contribution Limits: Investors must be mindful of IRS-mandated annual contribution limits for HSAs, set at $3,850 for self-only coverage and $7,750 for family coverage in 2023. Aligning contributions with these limits is crucial to maximize HSA tax advantages. Contributions are pre-tax, reducing taxable income, and interest and earnings grow tax-free. Withdrawals for qualified medical expenses are also tax-free. Exceeding these limits may incur penalties, necessitating careful adherence to avoid financial repercussions.
  • Investors should stay informed about potential updates to HSA contribution limits, as the IRS may adjust them periodically. Regularly reviewing and adjusting contributions according to the current limits enables investors to effectively leverage HSA tax advantages.

HSA Strategies for Real Estate Investors

For Real Estate Investors HSAs are a financial tool that they can strategically incorporate into their plans to gain advantages beyond health insurance. These tactics include:

  • Financial Impact: Allocating tax-deductible funds for routine check-ups in HSAs supports both financial and health objectives, providing a strategic use of resources.
  • Maximizing Tax Efficiency through Tax Planning: Real estate investors can enhance their overall tax position by incorporating HSA contributions as a crucial tactic. As HSA contributions are tax-deductible, investors can reduce taxable income, contributing to a more tax-efficient investing strategy within a broader tax planning plan.
  • Lowering Tax Obligation: Contributing to an HSA is a potential strategy to reduce an investor's tax liability, offering immediate savings by lowering taxable income. This enhances financial flexibility and allows for the accumulation of funds for future medical expenses through strategic tax planning.
  • Financial Preparedness: Investors can enhance financial preparedness by using their HSA as a tool to set aside funds for unforeseen medical expenses, acting as a safety net in emergencies. This strengthens overall financial preparation and health.

HSA Contributions by Partnership for a Partner

In partnerships, HSA contributions for partners constitute a tax-advantaged strategy, where the partnership can make deductible contributions to a partner's HSA, treated as a guaranteed payment. The partner includes the HSA contribution in their income, enabling them to benefit from HSA tax advantages. The partner will deduct the amount contributed to the HSA on their individual return as if they made the contribution personally. This approach supports both health and financial well-being while ensuring compliance with partnership tax regulations.

HSA Contribution by S-Corporation for a Shareholder-Employee

In S-Corporations, shareholder-employees can receive HSA contributions as part of their employee benefits. Contributions made by the corporation are typically tax-deductible. However, 2% or greater shareholder-employees must include HSA contributions in their gross income but can may claim an above-the-line deduction on their individual tax return. This setup offers a tax-efficient way for shareholder-employees to fund their HSAs, providing dual benefits of tax savings and health care planning within the S-Corporation structure.


A Health Savings Account (HSA) is a valuable financial tool for real estate investors, combining healthcare planning with financial strategy. With expanded 2023 contribution limits and the option to contribute rental income, HSAs offer versatility. They provide flexibility in income sources, immediate tax benefits, and the ability to reduce taxable income. Unlike Flexible Spending Accounts, HSAs offer ownership independence, contribution adjustability, investment opportunities, and no "use-it-or-lose-it" constraint. Adhering to annual contribution limits enables investors to optimize HSA tax advantages, aligning with both financial and health-related goals.