X0201 42003-12-07 0000792985 HEALTH MANAGEMENT ASSOCIATES INC HMA 0001240226 VUMBACCO JOSEPH V HEALTH MANAGEMENT ASSOCIATES, INC. 5811 PELICAN BAY BOULEVARD, SUITE 500 NAPLES FL 34108 1100President and CEOClass A Common Stock, $.01 par value2003-12-074M0201760A364150DClass A Common Stock, $.01 par value19725I401(k) PlanStock Option (Right to Buy)12.722000-05-122007-05-11Class A Common Stock, $.01 par value365000365000DStock Option (Right to Buy)13.002003-05-282009-05-27Class A Common Stock, $.01 par value500000500000DStock Option (Right to Buy)12.1252010-05-25Class A Common Stock, $.01 par value250000250000DStock Option (Right to Buy)16.602011-05-14Class A Common Stock, $.01 par value750000750000DStock Option (Right to Buy)19.952012-05-20Class A Common Stock, $.01 par value100000100000DStock Option (Right to Buy)18.562013-05-19Class A Common Stock, $.01 par value100000100000DContingent Stock Award02003-12-074M0201760D2003-12-072003-12-07Class A Common Stock, $.01 par value201760DContingent Stock Award02004-12-052004-12-05Class A Common Stock, $.01 par value2050520505DContingent Stock Award02005-12-042005-12-04Class A Common Stock, $.01 par value3640436404DContingent Stock Award02006-12-042006-12-04Class A Common Stock, $.01 par value3978839788DContingent Stock Award02007-12-032007-12-03Class A Common Stock, $.01 par value3090530905DCertain 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.This employee stock option was previously reported by Mr. Vumbacco. This employee stock option was previously reported by Mr. Vumbacco. Mr. Vumbacco can exercise this option as follows: 125,000 shares on 5/26/01 (exercised on 5/12/03), 125,000 shares on 5/26/02 (exercised on 5/12/03), 125,000 shares on 5/26/03, and 125,000 shares on 5/26/04. This employee stock option was previously reported by Mr. Vumbacco. Mr. Vumbacco can exercise this option as follows: 187,500 shares on 5/15/02, 187,500 shares on 5/15/03, 187,500 shares on 5/15/04, and 187,500 shares on 5/15/05.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.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.This contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan was previously reported by Mr. Vumbacco.Joseph V. Vumbacco2003-12-08