Filed Pursuant to Rules 424(b)(3) & 424(c) Registration No. 333-86034 Dated September 3, 2002 Prospectus Supplement (to prospectus dated June 10, 2002 and to prospectus supplements dated June 18,2002, June 28, 2002, August 9, 2002 and August 22, 2002) $330,000,000 Health Management Associates, Inc. Zero-Coupon Convertible Senior Subordinated Notes due 2022 and Class A Common Stock Issuable Upon Conversion of the Notes This supplement amends our prospectus, dated June 10, 2002, and our prospectus supplements, dated June 18, 2002, June 28, 2002, August 9, 2002 and August 22, 2002, relating to the sale by certain of our securityholders of up to $330,000,000 in principal amount at maturity of our Zero-Coupon Senior Subordinated Notes due 2022 and shares of our class A common stock issuable upon the conversion of such notes. You should read this supplement in conjunction with our prospectus and our previous prospectus supplements. Additionally, this supplement is qualified by reference to our prospectus and our previous prospectus supplements, except to the extent that the information in this supplement supersedes the information contained in our prospectus or our previous prospectus supplements. Selling Securityholders The following table provides information regarding the principal amount at maturity of notes owned beneficially by certain of our selling securityholders, the percentage of outstanding notes held by such selling securityholders, and the number of shares of our class A common stock each selling securityholder would own beneficially upon conversion of the entire principal amount of the notes held by such selling securityholder. The table below supplements or amends the table of securityholders contained on pages 45 and 46 of our prospectus and the table contained in our previous prospectus supplements. Accordingly, with respect to selling securityholders previously listed in our prospectus and our previous prospectus supplements, the information contained in the following table supersedes the information for each such selling securityholder. The information listed below was furnished to us by the listed securityholders on or before September 3, 2002. Because selling securityholders may at any time trade all or some of the notes listed without providing notice of such transactions to us, the table below may not reflect the exact value of notes held by each securityholder on the date hereof. The footnotes included in the table set forth on pages 45 and 46 of our prospectus are incorporated herein by reference. Principal Number of Amount at Shares of Percentage of Maturity of Percentage of Class A Common Outstanding Notes That Notes Stock That May Class A Common Name May Be Sold Outstanding Be Sold Stock Credit Lyonnais Securities USA Inc. $10,000,000 3.0 321,644 * Deutsche Bank Securities Inc. 10,150,000 3.1 326,469 * Goldman Sachs and Company 1,000,000 * 32,164 * Lyxor Master Fund 1,300,000 * 41,814 * Merrill Lynch, Pierce, Fenner & Smith 16,810,000 5.1 540,684 * ------------------ * Represents less than 1%.