Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
FARNHAM ROBERT E
  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
__X__ Officer (give title below) _____ Other (specify below)
Senior VP and CFO
(Last)
(First)
(Middle)
HEALTH MANAGEMENT ASSOCIATES, INC., 5811 PELICAN BAY BOULEVARD, SUITE 500
3. Date of Earliest Transaction (Month/Day/Year)
08/10/2007
(Street)

NAPLES, FL 34108
4. If Amendment, Date 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
(City)
(State)
(Zip)
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               76,502 D  
Class A Common Stock, $.01 par value               8,739 D (1)  
Class A Common Stock, $.01 par value 08/10/2007   I   25,520 A $ 7.84 44,488 I 401(k) Plan

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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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 Underlying Securities
(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 of Derivative Security: 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) $ 10.74 (2)             05/19/2002 05/18/2008 Class A Common Stock, $.01 par value 75,494 (2)   75,494 (2) D  
Stock Option (Right to Buy) $ 6.02 (2)             05/26/2004 05/25/2010 Class A Common Stock, $.01 par value 30,198 (2)   30,198 (2) D  
Stock Option (Right to Buy) $ 8.25 (2)             05/15/2005 05/14/2011 Class A Common Stock, $.01 par value 201,317 (2)   201,317 (2) D  
Stock Option (Right to Buy) $ 9.91 (2)             05/21/2006 05/20/2012 Class A Common Stock, $.01 par value 60,395 (2)   60,395 (2) D  
Stock Option (Right to Buy) $ 9.22 (2)             05/20/2007 05/19/2013 Class A Common Stock, $.01 par value 60,395 (2)   60,395 (2) D  
Stock Option (Right to Buy) $ 11.31 (2)               (3) 05/17/2014 Class A Common Stock, $.01 par value 100,659 (2) (3)   100,659 (2) (3) D  
Contingent Stock Award $ 0             12/03/2007 12/03/2007 Class A Common Stock, $.01 par value 19,910 (4)   19,910 (4) D  
Contingent Stock Award $ 0             12/08/2008 12/08/2008 Class A Common Stock, $.01 par value 24,989 (4)   24,989 (4) D  
Contingent Stock Award $ 0             12/07/2009 12/07/2009 Class A Common Stock, $.01 par value 13,049 (4)   13,049 (4) D  
Contingent Stock Award $ 0             02/20/2011 02/20/2011 Class A Common Stock, $.01 par value 20,039 (4)   20,039 (4) D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
FARNHAM ROBERT E
HEALTH MANAGEMENT ASSOCIATES, INC.
5811 PELICAN BAY BOULEVARD, SUITE 500
NAPLES, FL 34108
      Senior VP and CFO  

Signatures

 /s/ Robert E. Farnham   08/14/2007
**Signature of Reporting Person Date

Explanation of Responses:

* 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).
(1) These shares are held jointly by Mr. Farnham and his wife.
(2) This employee stock option was previously reported by Mr. Farnham 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.
(3) Mr. Farnham can exercise this option as follows: 25,165 shares on 5/18/05, 25,165 shares on 5/18/06, 25,165 shares on 5/18/07, and 25,164 shares on 5/18/08.
(4) This contingent stock incentive award under the Issuer's 1996 Executive Incentive Compensation Plan was previously reported by Mr. Farnham 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.

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