X0202 4 2007-02-05 0000792985 HEALTH MANAGEMENT ASSOCIATES INC HMA 0001240226 VUMBACCO JOSEPH V HEALTH MANAGEMENT ASSOCIATES, INC. 5811 PELICAN BAY BOULEVARD, SUITE 500 NAPLES FL 34108 1 1 0 0 CEO and Vice Chairman Class A Common Stock, $.01 par value 2007-02-05 4 M 0 250000 12.125 A 988147 D Class A Common Stock, $.01 par value 2007-02-05 4 M 0 750000 16.60 A 1738147 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 1000 19.81 D 1737147 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 53600 19.80 D 1683547 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 53300 19.79 D 1630247 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 26965 19.78 D 1603282 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 32400 19.77 D 1570882 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 17100 19.76 D 1553782 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 70600 19.75 D 1483182 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 72500 19.74 D 1410682 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 41700 19.73 D 1368982 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 48300 19.72 D 1320682 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 63600 19.71 D 1257082 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 226000 19.70 D 1031082 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 23200 19.69 D 1007882 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 29200 19.68 D 978682 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 39600 19.67 D 939082 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 22200 19.66 D 916882 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 25600 19.65 D 891282 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 12300 19.64 D 878982 D Class A Common Stock, $.01 par value 2007-02-05 4 S 0 3000 19.63 D 875982 D Class A Common Stock, $.01 par value 22811 I 401(k) Plan Stock Option (Right to Buy) 12.125 2007-02-05 4 M 0 250000 0 D 2004-05-26 2010-05-25 Class A Common Stock, $.01 par value 250000 0 D Stock Option (Right to Buy) 16.60 2007-02-05 4 M 0 750000 0 D 2005-05-15 2011-05-14 Class A Common Stock, $.01 par value 750000 0 D Stock Option (Right to Buy) 19.95 2006-05-21 2012-05-20 Class A Common Stock, $.01 par value 100000 100000 D Stock Option (Right to Buy) 18.56 2013-05-19 Class A Common Stock, $.01 par value 100000 100000 D Stock Option (Right to Buy) 22.77 2014-05-17 Class A Common Stock, $.01 par value 150000 150000 D Contingent Stock Award 0 2007-12-03 2007-12-03 Class A Common Stock, $.01 par value 30905 30905 D Contingent Stock Award 0 2008-12-08 2008-12-08 Class A Common Stock, $.01 par value 36749 36749 D Contingent Stock Award 0 2009-12-07 2009-12-07 Class A Common Stock, $.01 par value 18907 18907 D Certain of these shares are held by Wachovia Bank, N.A. 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: 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 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. This contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan was previously reported by Mr. Vumbacco. /s/ Joseph V. Vumbacco 2007-02-06