X0303 4 2008-10-30 0000792985 HEALTH MANAGEMENT ASSOCIATES INC HMA 0001217263 NEWSOME GARY D HEALTH MANAGEMENT ASSOCIATES, INC. 5811 PELICAN BAY BOULEVARD, SUITE 500 NAPLES FL 34108 1 1 0 0 President and CEO Class A Common Stock, $.01 par value 2008-10-30 4 P 0 21400 2.30 A 21400 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 5300 2.29 A 26700 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 1200 2.28 A 27900 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 11578 2.26 A 39478 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 400 2.2575 A 39878 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 1800 2.255 A 41678 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 3922 2.24 A 45600 D Class A Common Stock, $.01 par value 2008-10-30 4 P 0 4400 2.23 A 50000 D Stock Option (Right to Buy) 4.75 2018-09-13 Class A Common Stock, $.01 par value 500000 500000 D This option was previously reported by Mr. Newsome. Mr. Newsome can exercise this option pro rata with respect to one-fourth of the shares subject to the option on the first, second, third and fourth anniversaries of the grant date. /s/ Gary S. Bryant, Attorney-in fact for Gary D. Newsome 2008-11-03