X0202 4 2005-12-28 0 0000704415 AMERICAN HEALTHWAYS INC AMHC 0000903095 CIGARRAN THOMAS G AMERICAN HEALTHWAYS, INC. 3841 GREEN HILLS VILLAGE DRIVE NASHVILLE TN 37215 1 0 0 0 Common Stock 2005-12-28 4 M 0 18750 1.89 A 273033 D Common Stock 2005-12-28 4 M 0 4354 7.24 A 277387 D Common Stock 2005-12-28 4 S 0 10000 46.212 D 267387 D Common Stock 2005-12-28 4 S 0 8750 46.1445 D 258637 D Common Stock 2005-12-28 4 S 0 4354 46.4089 D 254283 D Common Stock 402062 I Held in Thomas G. Cigarran Annuity Trust Common Stock 3910 I Held in 401(k) Plan Option to Buy 1.89 2005-12-28 4 M 0 18750 D 2001-09-29 2010-09-29 Common Stock 18750 0 D Option to Buy 7.24 2005-12-28 4 M 0 4354 D 2003-08-27 2012-08-27 Common Stock 4354 115646 D Option vests 25% per year beginning on 9/29/2001. Information in this column is left blank because the transaction represents the conversion of a security. Option vests 25% per year beginning on 8/27/2003. /s/ Mary A. Chaput, by power of attorney for Thomas G. Cigarran 2005-12-28