X0303 4 2010-01-01 0000792985 HEALTH MANAGEMENT ASSOCIATES INC HMA 0001195445 KIERNAN DONALD E 3075 RUM ROW NAPLES FL 34102 1 0 0 0 Class A Common Stock, $.01 par value 2010-01-01 4 A 0 20000 0 A 64750 D Stock Option (Right to Buy) 19.95 2006-05-21 2012-05-20 Class A Common Stock, $.01 par value 5000 5000 D Stock Option (Right to Buy) 18.56 2007-05-20 2013-05-19 Class A Common Stock, $.01 par value 1250 1250 D Stock Option (Right to Buy) 22.77 2008-05-18 2014-05-17 Class A Common Stock, $.01 par value 5000 5000 D Stock Option (Right to Buy) 24.75 2009-05-24 2015-05-23 Class A Common Stock, $.01 par value 5000 5000 D This restricted stock award was granted under the Issuer's 2006 Outside Director Restricted Stock Award Plan, as amended, in a transaction exempt under Rule 16b-3 and is subject to forfeiture if certain vesting conditions are not met. This option was previously reported by Mr. Kiernan. /s/ Gary S. Bryant, Attorney-in-fact for Donald E. Kiernan 2010-01-05