SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

VUMBACCO JOSEPH V

(Last)

(First)

(Middle)

HEALTH MANAGEMENT ASSOCIATES, INC.

5811 PELICAN BAY BOULEVARD, SUITE 500

(Street)

NAPLES

34108

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
HEALTH MANAGEMENT ASSOCIATES INC [ HMA ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	President and CEO

3. Date of Earliest Transaction (Month/Day/Year)
12/01/2005

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. 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 (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Class A Common Stock, $.01 par value	12/01/2005		M		381,300	A	$13	765,955	D
Class A Common Stock, $.01 par value	12/01/2005		S		7,500	D	$23.7	758,455	D
Class A Common Stock, $.01 par value	12/01/2005		S		5,500	D	$23.67	752,955	D
Class A Common Stock, $.01 par value	12/01/2005		S		22,100	D	$23.66	730,855	D
Class A Common Stock, $.01 par value	12/01/2005		S		67,700	D	$23.65	663,155	D
Class A Common Stock, $.01 par value	12/01/2005		S		500	D	$23.64	662,655	D
Class A Common Stock, $.01 par value	12/01/2005		S		3,100	D	$23.63	659,555	D
Class A Common Stock, $.01 par value	12/01/2005		S		8,300	D	$23.62	651,255	D
Class A Common Stock, $.01 par value	12/01/2005		S		2,000	D	$23.61	649,255	D
Class A Common Stock, $.01 par value	12/01/2005		S		6,500	D	$23.6	642,755	D
Class A Common Stock, $.01 par value	12/01/2005		S		400	D	$23.59	642,355	D
Class A Common Stock, $.01 par value	12/01/2005		S		2,000	D	$23.58	640,355	D
Class A Common Stock, $.01 par value	12/01/2005		S		50,000	D	$23.571	590,355	D
Class A Common Stock, $.01 par value	12/01/2005		S		9,500	D	$23.57	580,855	D
Class A Common Stock, $.01 par value	12/01/2005		S		4,800	D	$23.56	576,055	D
Class A Common Stock, $.01 par value	12/01/2005		S		14,100	D	$23.55	561,955	D⁽¹⁾
Class A Common Stock, $.01 par value								21,463	I	401(k) Plan

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Stock Option (Right to Buy)	$13	12/01/2005		M			381,300	05/28/2003	05/27/2009	Class A Common Stock, $.01 par value	381,300⁽²⁾	$0	0	D
Stock Option (Right to Buy)	$12.125							05/26/2004	05/25/2010	Class A Common Stock, $.01 par value	250,000⁽²⁾		250,000⁽²⁾	D
Stock Option (Right to Buy)	$16.6							05/15/2005	05/14/2011	Class A Common Stock, $.01 par value	750,000⁽²⁾		750,000⁽²⁾	D
Stock Option (Right to Buy)	$19.95							⁽³⁾	05/20/2012	Class A Common Stock, $.01 par value	100,000⁽³⁾		100,000⁽³⁾	D
Stock Option (Right to Buy)	$18.56							⁽⁴⁾	05/19/2013	Class A Common Stock, $.01 par value	100,000⁽⁴⁾		100,000⁽⁴⁾	D
Stock Option (Right to Buy)	$22.77							⁽⁵⁾	05/17/2014	Class A Common Stock, $.01 par value	150,000⁽⁵⁾		150,000⁽⁵⁾	D
Contingent Stock Award	$0							12/04/2005	12/04/2005	Class A Common Stock, $.01 par value	36,404⁽⁶⁾		36,404⁽⁶⁾	D
Contingent Stock Award	$0							12/04/2006	12/04/2006	Class A Common Stock, $.01 par value	39,788⁽⁶⁾		39,788⁽⁶⁾	D
Contingent Stock Award	$0							12/03/2007	12/03/2007	Class A Common Stock, $.01 par value	30,905⁽⁶⁾		30,905⁽⁶⁾	D
Contingent Stock Award	$0							12/08/2008	12/08/2008	Class A Common Stock, $.01 par value	36,749⁽⁶⁾		36,749⁽⁶⁾	D

Explanation of Responses:

1. Certain of these shares are held by First Union National Bank of Florida for the account of Mr. Vumbacco. The account is a self-directed IRA in which Mr. Vumbacco has the sole power to dispose of the shares.

2. This employee stock option was previously reported by Mr. Vumbacco.

3. This employee stock option was previously reported by Mr. Vumbacco. Mr. Vumbacco can exercise this option as follows: 25,000 shares on 5/21/03, 25,000 shares on 5/21/04, 25,000 shares on 5/21/05, and 25,000 shares on 5/21/06.

4. This employee stock option was previously reported by Mr. Vumbacco. Mr. Vumbacco can exercise this option as follows: 25,000 shares on 5/20/04, 25,000 shares on 5/20/05, 25,000 shares on 5/20/06, and 25,000 shares on 5/20/07.

5. This employee stock option was previously reported by Mr. Vumbacco. Mr. Vumbacco can exercise this option as follows: 37,500 shares on 5/18/05, 37,500 shares on 5/18/06, 37,500 shares on 5/18/07, and 37,500 shares on 5/18/08.

6. This contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan was previously reported by Mr. Vumbacco.

Remarks:

	Joseph V. Vumbacco	12/02/2005
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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