X0306 4 2019-08-22 0001196501 HMS HOLDINGS CORP HMSY 0001463145 Sherman Jeffrey Scott 5615 HIGH POINT DRIVE IRVING TX 75038 1 EVP, CFO, and Treasurer Common Stock 2019-08-22 4 M 0 36266.0000 13.9400 A 214031.0000 D Common Stock 2019-08-22 4 M 0 6489.0000 16.6400 A 220520.0000 D Common Stock 2019-08-22 4 S 0 4369.0000 38.6100 D 216151.0000 D Common Stock 2019-08-22 4 S 0 38386.0000 38.1700 D 177765.0000 D Common Stock 2019-08-23 4 M 0 8745.0000 13.9400 A 186510.0000 D Common Stock 2019-08-23 4 S 0 8745.0000 37.8700 D 177765.0000 D Common Stock 10760.0000 I By Family Trust Nonqualified Stock Option (Right to Buy) 13.9400 2019-08-22 4 M 0 36266.0000 0.0000 D 2023-03-01 Common Stock 36266.0000 63837.0000 D Nonqualified Stock Option (Right to Buy) 16.6400 2019-08-22 4 M 0 6489.0000 0.0000 D 2022-05-13 Common Stock 6489.0000 0.0000 D Nonqualified Stock Option (Right to Buy) 13.9400 2019-08-23 4 M 0 8745.0000 0.0000 D 2023-03-01 Common Stock 8745.0000 55092.0000 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.50 to $38.86, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (1), (2) and (3) to this Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.50 to $38.49, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.50 to $38.23, inclusive. The option vests in three equal installments on March 2, 2017, 2018 and 2019. One-half of the option vested in three equal installments on May 13, 2016, 2017 and 2018. The other one-half of the option vested as follows: two-thirds vested on May 13, 2017 and one-third vested on May 13, 2018. Kimberly J. Day, as Attorney-in-Fact for Jeffrey S. Sherman 2019-08-26