SEC Form 4

FORM 4		UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
X	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person* VUMBACCO JOSEPH V (Last) (First) (Middle) HEALTH MANAGEMENT ASSOCIATES, INC. 5811 PELICAN BAY BOULEVARD, SUITE 500 (Street) NAPLES FL 34108 (City) (State) (Zip)	2. Issuer Name and Ticker or Trading Symbol HEALTH MANAGEMENT ASSOCIATES INC [ HMA ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner Officer (give title below) X Other (specify below) Retired effective 12/31/07
	3. Date of Earliest Transaction (Month/Day/Year) 01/01/2008
	4. If Amendment, Date of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Class A Common Stock, $.01 par value	01/01/2008		M(1)		73,982(1)	A	$0	964,503	D(3)
Class A Common Stock, $.01 par value	01/01/2008		F		31,723	D	$5.98	932,780	D(3)
Class A Common Stock, $.01 par value	01/01/2008		M(1)		38,063(1)	A	$0	970,843	D(3)
Class A Common Stock, $.01 par value	01/01/2008		F		15,777	D	$5.98	955,066	D(3)
Class A Common Stock, $.01 par value	01/01/2008		D(2)		50,000(2)	D	$0	905,066	D(3)
Class A Common Stock, $.01 par value								24,988	I	401(k) Plan

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (Right to Buy)	$9.91							05/21/2006	05/20/2012	Class A Common Stock, $.01 par value	201,317(4)		201,317(4)	D
Stock Option (Right to Buy)	$9.22							05/20/2007	05/19/2013	Class A Common Stock, $.01 par value	201,317(4)		201,317(4)	D
Stock Option (Right to Buy)	$11.31							(5)	05/17/2014	Class A Common Stock, $.01 par value	301,976(5)		301,976(5)	D
Contingent Stock Award	$0	01/01/2008		M(1)			73,982(1)	01/01/2008(1)	01/01/2008(1)	Class A Common Stock, $.01 par value	73,982(1)	$0	0	D
Contingent Stock Award	$0	01/01/2008		M(1)			38,063(1)	01/01/2008(1)	01/01/2008(1)	Class A Common Stock, $.01 par value	38,063(1)	$0	0	D

Explanation of Responses:

1. Mr. Vumbacco resigned as an officer, director and employee of the Issuer effective 12/31/07, as reported by the Issuer in a Current Report on Form 8-K dated November 5, 2007. The vesting of this contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan, which was previously reported by Mr. Vumbacco, was accelerated in connection with his retirement.

2. Upon his retirement, Mr. Vumbacco forfeited 50% of his 100,000 share restricted stock award granted under the Issuer's 1996 Executive Incentive Compensation Plan on 1/30/06, which award was previously reported by Mr. Vumbacco.

3. 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.

4. This employee stock option was previously reported by Mr. Vumbacco.

5. This employee stock option was previously reported by Mr. Vumbacco. 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.

Remarks:

	/s/ Joseph V. Vumbacco	01/03/2008
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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