X0202 4 2007-02-20 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 2007-02-20 4 D 0 25000 0 D 850982 D Class A Common Stock, $.01 par value 22899 I 401(k) Plan 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 The vesting conditions for the first one-fourth of Mr. Vumbacco's 100,000 share restricted stock award (which award was previously reported) were not met, and accordingly, 25,000 of such shares (representing 25% of the total shares subject to the award) have been forfeited and will not carry over to any subsequent vesting period. 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/ Gary S. Bryant, Attorney-in-fact for Joseph V. Vumbacco 2007-02-22