X0303 4 2010-12-09 0 0001136174 HYTHIAM, INC. HYTM 0001410188 MCCRANN KELLY J. 11150 SANTA MONICA BLVD # 1500 LOS ANGELES CA 90025 1 0 0 0 Options 0.04 2010-12-09 2010-12-09 4 A 0 10800000 0 A 2020-12-09 Common Stock 10800000 10800000 D The Options vest monthly after the first year on a pro-rata basis over three years. The Options may only be exercised to the extent that the Company has enough authorized shares pursuant to its Certificate of Incorporation as amended to date. The Options were granted in consideration of Mr. McCrann's service to the Company. /s/ Kelly J. McCrann 2010-12-22