X0303 4 2011-05-05 0000792985 HEALTH MANAGEMENT ASSOCIATES INC HMA 0001240207 FARNHAM ROBERT E HEALTH MANAGEMENT ASSOCIATES, INC. 5811 PELICAN BAY BOULEVARD, SUITE 500 NAPLES FL 34108 0 1 0 0 Senior VP- Finance Class A Common Stock, $.01 par value 2011-05-05 4 M 0 125000 8.25 A 501818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 39749 11.25 D 462069 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 1200 11.2525 D 460869 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 2700 11.253 D 458169 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 3600 11.255 D 454569 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 5751 11.26 D 448818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 5000 11.27 D 443818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 7000 11.28 D 436818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 5000 11.30 D 431818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 4600 11.31 D 427218 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 10400 11.32 D 416818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 10000 11.33 D 406818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 5000 11.34 D 401818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 10000 11.36 D 391818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 10000 11.39 D 381818 D Class A Common Stock, $.01 par value 2011-05-05 4 S 0 5000 11.40 D 376818 D Class A Common Stock, $.01 par value 2011-05-06 4 M 0 14706 8.25 A 391524 D Class A Common Stock, $.01 par value 2011-05-06 4 S 0 14606 11.50 D 376918 D Class A Common Stock, $.01 par value 2011-05-06 4 S 0 100 11.51 D 376818 D Class A Common Stock, $.01 par value 2011-05-09 4 M 0 61611 8.25 A 438429 D Class A Common Stock, $.01 par value 2011-05-09 4 S 0 38746 11.50 D 399683 D Class A Common Stock, $.01 par value 2011-05-09 4 S 0 11611 11.53 D 388072 D Class A Common Stock, $.01 par value 2011-05-09 4 S 0 11254 11.55 D 376818 D Class A Common Stock, $.01 par value 8739 D Class A Common Stock, $.01 par value 47926 I 401(k) Plan Stock Option (Right to Buy) 8.25 2011-05-05 4 M 0 125000 0 D 2005-05-15 2011-05-14 Class A Common Stock, $.01 par value 125000 76317 D Stock Option (Right to Buy) 8.25 2011-05-06 4 M 0 14706 0 D 2005-05-15 2011-05-14 Class A Common Stock, $.01 par value 14706 61611 D Stock Option (Right to Buy) 8.25 2011-05-09 4 M 0 61611 0 D 2005-05-15 2011-05-14 Class A Common Stock, $.01 par value 61611 0 D Stock Option (Right to Buy) 9.91 2006-05-21 2012-05-20 Class A Common Stock, $.01 par value 60395 60395 D Stock Option (Right to Buy) 9.22 2007-05-20 2013-05-19 Class A Common Stock, $.01 par value 60395 60395 D Stock Option (Right to Buy) 11.31 2008-05-18 2014-05-17 Class A Common Stock, $.01 par value 100659 100659 D Contingent Stock Award 0 2012-02-19 2012-02-19 Class A Common Stock, $.01 par value 21201 21201 D These shares are held jointly by Mr. Farnham and his wife. This employee stock option was previously reported by Mr. Farnham. This contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan was previously reported by Mr. Farnham. /s/ Gary S. Bryant, Attorney-in-fact for Robert E. Farnham 2011-05-09