5
1
NASD

  0001209905
  Officer


  Health Management Systems, Inc.
  0000861179
  13-2770433

12/31/02
5
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check box if no longer subject to Section 16.
    Form 4 or Form 5 obligations may continue.

[ ] Form 3 Holdings Reported

[ ] Form 4 Transactions Reported

1. Name and Address of Reporting Person(s)
   Rydzewski, Philip
   401 Park Avenue South


   New York, New York 10016
2. Issuer Name and Ticker or Trading Symbol
   Health Management Systems, Inc. (HMSY)
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)

4. Statement for Month/Year
   12/02
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
   [ ] Director                   [ ] 10% Owner
   [X] Officer (give title below) [ ] Other (specify below)
   Chief Financial Officer
7. Individual or Joint/Group Filing (Check Applicable Line)
   [X] Form filed by One Reporting Person
   [ ] Form filed by More than One Reporting Person



Table I   Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Security                           2)Trans-    3.Trans- 4.Securities Acquired(A)      5)Amount of    6)  7)Nature of
                                              action      action   or Disposed of (D)            Securities         Indirect
                                              Date        Code                   A               Beneficially   D   Beneficial
                                              (Month/                            or              Owned at       or  Ownership
                                              Day/Year)   Code     Amount        D  Price        End of Year    I
- ------------------------------------------------------------------------------------------------------------------------------------
                                                                                           



Table II (PART 1)  Derivative Securitites Acquired, Disposed of, or Beneficially Owned  (Columns 1 through 6)
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative          2)Conversion    3)Trans-       4)Trans-  5)Number of Derivative            6)Date Exercisable and
Security                       or Exercise     action         action    Securities Acquired (A)           Expiration Date
                               Price of        Date           Code      or Disposed of (D)
                               Derivative
                               Security                       Code      A                D                Exercisable  Expiration
- ------------------------------------------------------------------------------------------------------------------------------------
                                                                                                  
Incentive Stock Option (right  $1.27           04/09/01       A         50,000                            (1)          04/09/11
to buy)
Incentive Stock Option (right  $2.48           12/12/01       A         95,362                            (2)          12/12/11
to buy)
Incentive Stock Option (right  $3.41           12/19/02       A         23,118                            (2)          12/19/12
to buy)
Non-Qualified Stock Option     $2.48           12/12/01       A         4,638                             (2)          12/12/11
(right to buy)
Non-Qualified Stock Option     $3.41           12/19/02       A         76,882                            (2)          12/19/12
(right to buy)


Table II (PART 2)  Derivative Securitites Acquired, Disposed of, or Beneficially Owned  (Columns 1,3 and 7 through 11)
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative          3)Trans-  7)Title and Amount                           8)Price     9)Number of   10) 11)Nature of
Security                       action    of Underlying                                of Deri-    Derivative        Indirect
                               Date      Securities                                   vative      Securities    D   Beneficial
                                                                        Amount or     Security    Beneficially  or  Ownership
                                                                        Number of                 Owned at      I
                  -                      Title                          Shares                    End of Year
- ------------------------------------------------------------------------------------------------------------------------------------
                                                                                               

Incentive Stock Option (right  04/09/01  Common Stock                   50,000                    50,000        D   Direct
to buy)
Incentive Stock Option (right  12/12/01  Common Stock                   95,362                    95,362        D   Direct
to buy)
Incentive Stock Option (right  12/19/02  Common Stock                   23,118                    23,118        D   Direct
to buy)
Non-Qualified Stock Option     12/12/01  Common Stock                   4,638                     4,638         D   Direct
(right to buy)
Non-Qualified Stock Option     12/19/02  Common Stock                   76,882                    76,882        D   Direct
(right to buy)


Explanation of Responses:

(1)
Options will vest in 1/3 increments on the anniversary date of the grant, starting on the first anniversary date.
(2)
Options exercisable in 1/3 increments with 1/3 vesting immediately, and 1/3 on each of the next two anniversary dates.



SIGNATURE OF REPORTING PERSON
/S/ Rydzewski, Philip
DATE 02/11/03