X0202 4 2007-12-03 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 Vice Chairman Class A Common Stock, $.01 par value 2007-12-03 4 M 0 62217 0 A 913199 D Class A Common Stock, $.01 par value 2007-12-03 4 F 0 22678 6.41 D 890521 D Class A Common Stock, $.01 par value 24740 I 401(k) Plan Stock Option (Right to Buy) 9.91 2006-05-21 2012-05-20 Class A Common Stock, $.01 par value 201317 201317 D Stock Option (Right to Buy) 9.22 2007-05-20 2013-05-19 Class A Common Stock, $.01 par value 201317 201317 D Stock Option (Right to Buy) 11.31 2014-05-17 Class A Common Stock, $.01 par value 301976 301976 D Contingent Stock Award 0 2007-12-03 4 M 0 62217 0 D 2007-12-03 2007-12-03 Class A Common Stock, $.01 par value 62217 0 D Contingent Stock Award 0 2008-12-08 2008-12-08 Class A Common Stock, $.01 par value 73982 73982 D Contingent Stock Award 0 2009-12-07 2009-12-07 Class A Common Stock, $.01 par value 38063 38063 D The amount shown includes shares held by Mr. Vumbacco individually, shares held jointly with his wife and a small portion of shares held within a self-directed IRA in which Mr. Vumbacco has the sole power of disposition. This employee stock option was previously reported by Mr. Vumbacco and has been adjusted in connection with the Issuer's recapitalization transaction effective on March 2, 2007. The recapitalization was previously reported by the Issuer in a Current Report on Form 8-K dated January 17, 2007. Mr. Vumbacco can exercise this option as follows: 75,494 shares on 5/18/05, 75,494 shares on 5/18/06, 75,494 shares on 5/18/07, and 75,494 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 and has been adjusted in connection with the Issuer's recapitalization transaction effective on March 2, 2007. The recapitalization was previously reported by the Issuer in a Current Report on Form 8-K dated January 17, 2007. /s/ Joseph V. Vumbacco 2007-12-05