X0201 4/A 2004-03-02 2004-03-04 0000754009 SIERRA HEALTH SERVICES INC SIE 0001185390 HOWARD LARRY S 2724 N. TENAYA WAY LAS VEGAS NV 89128 0 1 0 0 Sr. V.P., Program Office Common Stock 2004-03-02 4 M 0 1800 8.00 A 22276 D Common Stock 2004-03-02 4 M 0 2500 8.93 A 24776 D Common Stock 2004-03-02 4 M 0 2500 8.93 A 27276 D Common Stock 2004-03-02 4 M 0 2500 8.93 A 29776 D Common Stock 2004-03-02 4 S 0 1800 35.0878 D 27976 D Common Stock 2004-03-02 4 S 0 2500 35.096 D 25476 D Common Stock 2004-03-02 4 S 0 2500 34.80 D 22976 D Common Stock 2004-03-02 4 S 0 2500 35.00 D 20476 D Common Stock 8628.4 I By 401(k) Plan Common Stock 225.41 I By wife Employee Stock Option (Right to Buy) 8.00 2004-03-02 4 M 0 1800 0 D 2000-10-13 2005-10-12 Common Stock 1800 15000 D Employee Stock Option (Right to Buy) 8.93 2004-03-02 4 M 0 7500 0 D 2002-12-10 2011-12-10 Common Stock 7500 7500 D Sale under Rule 10b5-1 Trading Plan. Exercise of options granted in consideration for services under the Company's 1995 Long-Term Incentive Plan, which meets the requirements of, and which transactions are exempted by, Rule 16b-3 and Rule 16b-6(b). Exercisable as to 20% on each of 10/13/00, 10/13/01, 10/13/02, 10/13/03 and 10/13/04. Exercisable as to 33 1/3% on each of 12/10/02, 12/10/03 and 12/10/04. Larry S. Howard/Jayne Primaky POA 2004-03-31