X0306 4 2019-08-20 0001196501 HMS HOLDINGS CORP HMSY 0001725821 O'Gara Emmet 5615 HIGH POINT DRIVE IRVING TX 75038 1 Group Pres., Pop Health Mgmt. Common Stock 2019-08-20 4 M 0 9761.0000 19.4800 A 46195.0000 D Common Stock 2019-08-20 4 M 0 6553.0000 16.9400 A 52748.0000 D Common Stock 2019-08-20 4 S 0 16314.0000 38.7200 D 36434.0000 D Nonqualified Stock Option (Right to Buy) 16.9400 2019-08-20 4 M 0 6553.0000 0.0000 D 2028-03-02 Common Stock 6553.0000 19659.0000 D Nonqualified Stock Option (Right to Buy) 19.4800 2019-08-20 4 M 0 9761.0000 0.0000 D 2028-03-02 Common Stock 9761.0000 19522.0000 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.59 to $38.92, 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 range set forth in this footnote (1) to this Form 4. The option vests in three equal annual installments beginning on March 2, 2019. Kimberly J. Day, as Attorney-in-Fact for Emmet O'Gara 2019-08-22