Health Management Associates 10-K 2008 FY Annual report

Exhibit 21.1

Subsidiaries of the Registrant

Note: Entities identified below with an asterisk (*) are wholly owned direct subsidiaries (each a "Subsidiary") of Health Management Associates, Inc. All other entities identified below are at least majority owned by Health Management Associates, Inc. or a Subsidiary.

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Alabama HMA Physician Management, LLC	Alabama	Cheaha Family Medicine
Amory HMA, LLC	Mississippi	Gilmore Memorial Regional Medical Center
Amory HMA Physician Management, LLC	Mississippi
Anniston HMA, LLC	Alabama	Stringfellow Memorial Hospital
Augusta HMA, Inc.*	Georgia
Augusta HMA Physician Management, Inc.*	Georgia
Bartow HMA, LLC	Florida	Bartow Regional Medical Center
Bartow HMA Physician Management, LLC	Florida	Women’s Health Specialists of Central Florida
Biloxi H.M.A., LLC	Mississippi	Biloxi Regional Medical Center
Biloxi HMA Physician Management, LLC	Mississippi	Center for Industrial Health & Wellness Lakeview Family Medicine Center
Brandon HMA, LLC	Mississippi	Crossgates River Oaks Hospital
Brooksville HMA Physician Management, LLC	Florida
Canton HMA, LLC	Mississippi
Carlisle HMA, Inc.*	Pennsylvania	Carlisle Regional Medical Center Carlisle Regional Surgery Center
Carlisle HMA Physician Management, Inc.*	Pennsylvania
Carlisle HMA Surgery Center, LLC	Pennsylvania	Carlisle Outpatient Surgery Center
Carolinas Holdings, LLC	Delaware
Carolinas JV Holdings General, LLC	Delaware
Carolinas JV Holdings, L.P.	Delaware
Central Florida HMA Holdings, LLC	Delaware
Central Mississippi Medical Center Home Health, LLC	Mississippi
Central Polk, LLC	Florida
Central States HMA Holdings, LLC	Delaware
Chester HMA, LLC	South Carolina	Chester Regional Medical Center Chester Nursing Center Neighbors Care Home Health Agency Church Street Clinic Richburg Family Medical Center
Chester HMA Physician Management, LLC	South Carolina

Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Citrus HMA, LLC	Florida	Seven Rivers Regional Medical Center Seven Rivers Outpatient Laboratory Dunnellon Diagnostic Center Seven Rivers Rehab & Wound Center
Clarksdale HMA, LLC	Mississippi	Northwest Mississippi Regional Medical Center
Clarksdale HMA Physician Management, LLC	Mississippi
Coffee Hospital Management Associates, Inc.*	Tennessee
Collier HMA Facility Based Physician Management, LLC	Florida
Collier HMA Physician Management, LLC	Florida	Medical Surgical Specialists
Crystal River HMA Physician Management, LLC	Florida
Durant H.M.A., LLC	Oklahoma	Medical Center of Southeastern Oklahoma
Durant HMA Surgical Center, LLC	Oklahoma
Durant HMA Physician Management, LLC	Oklahoma	OB/Gyn Associates of Durant
East Georgia Regional Medical Center, LLC	Georgia	East Georgia Regional Medical Center
EverRad HMA Holdings, LLC*	Florida
Florida HMA Holdings, LLC	Delaware
Florida HMA Urgent Care, LLC	Florida
Gadsden HMA Physician Management, LLC	Alabama	Primary Care Associates
Gaffney H.M.A., LLC	South Carolina	Upstate Carolina Medical Center
Gaffney HMA Physician Management, LLC	South Carolina	Gaffney Medical Associates
Georgia HMA Physician Management, Inc.*	Georgia
Green Clinic, LLC	Florida	Heart of Florida Back and Spine Center
Gulf Coast HMA Physician Management, LLC	Florida	Gulf Coast Medical Group Gulf Coast Neurology Associates Englewood Primary Care & Walk-In Clinic Venice Family Practice Venice Internal Medicine Island Gulf Coast Medical Group – Urgent Care and     Physician Offices Gulf Coast Pulmonology Associates
Gulf Oaks Therapeutic Day School, LLC	Mississippi

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Haines City HMA, LLC	Florida	Heart of Florida Regional Medical Center Center for Healthy Workforce Heart of Florida Therapy Center
Hamlet H.M.A., LLC	North Carolina	Sandhills Regional Medical Center
Hamlet HMA Physician Management, LLC	North Carolina	Sandhills Medical Group
Harborside Surgery Center, LLC	Florida
Harrison HMA, LLC	Mississippi
Harrison HMA Physician Management, LLC	Mississippi
Hartsville HMA, LLC	South Carolina	Carolina Pines Regional Medical Center
Hartsville HMA Physician Management, LLC	South Carolina	The Medical Group Pee Dee Hospitalists The Children’s Group Children’s Care Clinic
Hernando HMA, LLC	Florida	Hernando Healthcare Brooksville Regional Hospital Spring Hill Regional Hospital Pinebrook Regional Medical Regional Healthcare Special Delivery Suites
HMA Fentress County General Hospital, Inc.*	California	Jamestown Regional Medical Center
HMA Hospitals Holdings, LLC*	Delaware
HMA Physician Practice Management, LLC	Florida
HMA Santa Rosa Medical Center, LLC	Florida	Santa Rosa Medical Center Santa Rosa Primary Care Center
Hospital Management Associates, Inc.*	Florida
Hospital Management Services of Florida, Inc.	Florida	HMA Hospital Management Services of Florida, Inc. (in Texas)
Insurance Company of the Southeast, Ltd.*	Cayman Islands, BWI
Jackson HMA, LLC	Mississippi	Central Mississippi Medical Center
Jackson HMA North Medical Office Building, LLC	Mississippi
Jamestown HMA Physician Management, Inc.*	Tennessee	Active Ortho Sports Specialists Jamestown Surgical Associates Jamestown Urology Associates Fentress Internal Medical Center
Kennett HMA, Inc.*	Missouri	Twin Rivers Regional Medical Center

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Kennett HMA Physician Management, Inc.*	Missouri	Kennett Cardiology Associates Kennett Radiology Associates Twin Rivers Anesthesia
Key West HMA, LLC	Florida	Lower Keys Medical Center Depoo Hospital
Key West HMA Physician Management, LLC	Florida	South Florida Medical and Surgical Associates Keys Medical Group Lower Keys Primary Care Clinic Primary Care Center of Key West
Keystone HMA Property Management, Inc.*	Pennsylvania
Lancaster HMA, Inc.*	Pennsylvania	Heart of Lancaster Regional Medical Center Community Hospital of Lancaster Lancaster Regional Health The Heart of Lancaster Regional Medical Center Heart of Lancaster Hospital The Heart of Lancaster Hospital Heart of Lancaster Center City Family Health
Lancaster HMA Physician Management, Inc.*	Pennsylvania	Central Penn Medical Group Family Health Associates of Lancaster Heart of Lancaster Cardiology Heart of Lancaster Internal Medicine Heart of Lancaster Ob Gyn Associates Heart of Lancaster Family Practice Highlands Family Practice Interventional Spine Associates Carlisle Urology Cardiac & Vascular Surgeons of Lancaster Cardiothoracic & Vascular Surgeons of Lancaster Orthopaedic Specialists of Central Pennsylvania Pediatric Partners Lancaster Pulmonary and Sleep Associates Lancaster Anesthesia Associates Rose City Behavioral Health Women’s LifeCare of Lancaster Community Surgical Associates
Lancaster Outpatient Imaging, LLC	Pennsylvania	The Image Center of Lancaster
Lebanon HMA, Inc.*	Tennessee	University Medical Center McFarland Specialty Hospital University Medical Center Skilled Nursing Facility Donelson Home Health
Lebanon HMA Physician Management Corp.*	Tennessee	Gallant Family Medicine Women’s Wellness of Lebanon
Lebanon HMA Surgery Center, Inc.*	Tennessee	Lebanon Surgical Center
Lehigh HMA, LLC	Florida	Lehigh Regional Medical Center

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Lehigh HMA Physician Management, LLC	Florida	Lehigh Medical Group
Little Rock HMA, Inc.*	Arkansas
Lone Star HMA, L.P.	Delaware	Dallas Regional Medical Center at Galloway
Louisburg H.M.A., LLC	North Carolina	Franklin Regional Medical Center
Louisburg HMA Physician Management, LLC	North Carolina	Perry Medders Medical Group Franklin Pediatric Care Franklin Family Medicine Franklinton Medical Practice Heritage Family Care Women’s Specialty Center Rolesville Primary Care
Madison HMA, LLC	Mississippi	Madison Regional Medical Center
Madison HMA Physician Management, LLC	Mississippi
Marathon H.M.A., LLC	Florida	Fishermen’s Hospital
Meridian HMA, LLC	Mississippi	Riley Hospital
Meridian HMA Clinic Management, LLC	Mississippi
Meridian HMA Nursing Home, LLC	Mississippi
Mesquite HMA General, LLC	Delaware
Mesquite HMA Limited, LLC	Delaware
Midwest HMA Home Health, LLC	Oklahoma
Midwest Regional Medical Center, LLC	Oklahoma	Midwest Regional Medical Center Midwest Regional Medical Center Home Health Services Oklahoma Regional Heart Pavilion
Midwest City HMA Physician Management, LLC	Oklahoma	Sooner Medical Management Indian Meridian Family Medicine Renaissance Physicians Midwest City Hitt Aesthetic and Reconstructive Surgery Midwest Sports Medicine Moore Internal Medicine Riverwalk Surgical Services Riverwalk Women’s Health Care Total Vein Care Center
Mississippi HMA Holdings I, LLC	Delaware
Mississippi HMA Holdings II, LLC	Delaware

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Monroe HMA, LLC	Georgia	Walton Regional Medical Center Walton Regional Nursing Home
Monroe HMA Physician Management, LLC	Georgia	Walton Surgical Group Barrow Surgical Associates Cornerstone Woman’s Care Monroe Family Medicine
Mooresville HMA Physician Management, LLC	North Carolina	Lake Norman Medical Group Primary Care Associates Primary Care Associates Internal Medicine Lake Norman Neonatology Associates Oakhurst Women’s Center at the Lake Lake Norman Center for Digestive & Liver Disease Center for Infectious Disease North Mecklenburg Medical Associates Sherrill Orthopaedics Lake Norman Preventive Nephrology & Hypertension
Mooresville Hospital Management Associates, LLC	North Carolina	Lake Norman Regional Medical Center Hospitalists of Lake Norman The Surgical Center at Lake Norman Lake Norman Regional Medical Center – Home Health
Naples HMA, LLC	Florida	Physicians Regional Healthcare System Physicians Regional Medical Center-Pine Ridge Physicians Regional Medical Center-Collier Boulevard Physicians Regional Medical Center
Natchez Community Hospital, LLC	Mississippi	Natchez Community Hospital
Natchez HMA Physician Management, LLC	Mississippi	Family Medical Center
North Port HMA, LLC	Florida
Norton HMA, Inc.*	Virginia
Oklahoma HMA Urgent Care, LLC	Oklahoma	MedExpress Urgent Care
Orlando H.M.A., Inc.*	Florida
OsceolaSC, LLC	Delaware	St. Cloud Regional Medical Center Wound Healing & Hyperbaric Center at St. Cloud Regional
Oviedo HMA, LLC*	Florida
Paintsville HMA Physician Management, LLC	Kentucky	Inez Clinic Women’s Center of Paintsville Paintsville Clinic
Paintsville Hospital Company, LLC	Kentucky	Paul B. Hall Regional Medical Center

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Pasco Hernando HMA Physician Management, LLC	Florida	East Pasco Primary Care Lake Jovita Primary Care Pasco Regional Radiology Group Women’s Health of Pasco
Pasco Regional Medical Center, LLC	Florida	Pasco Regional Medical Center Pasco Medical Plaza Condominium The Center for Wound Healing and Hyperbaric
		Medicine of Pasco Regional Medical Center
PBEC HMA, Inc.*	Florida	Pelican Bay Executive Center
Peace River HMA Nursing Center, LLC	Florida
Pennington Gap HMA, Inc.*	Virginia
Pennington Gap HMA Physician Management, Inc.*	Virginia
Poinciana HMA, LLC*	Florida
Polk HMA, Inc.*	Florida
Poplar Bluff Regional Medical Center, Inc.*	Missouri	Poplar Bluff Regional Medical Center-North Poplar Bluff Regional Medical Center-South Piedmont Family Pharmacy Three Rivers Lab and X-ray Three Rivers Healthcare Pathology Services Three Rivers Healthcare Hospice Piedmont Family Clinic Malden Medical Clinic Puxico Medical Clinic Dexter Medical Clinic Bloomfield Medical Clinic
Poplar Bluff HMA Physician Management Corp.*	Missouri	Ozark Hospitalist Group Ozark Medical Management Ozark Heart & Vascular Institute Ozark Medical Neurology
Port Charlotte HMA, LLC	Florida	Peace River Regional Medical Center Peace River Home Health Service
Port Charlotte HMA Physician Management, LLC	Florida	Charlotte Urgent Care Neurology Associates of Charlotte County Peace River Women’s Center Port Charlotte Internal Medicine Surgical Associates of Charlotte County
Punta Gorda HMA, LLC	Florida	Charlotte Regional Medical Center Riverside Behavioral Center Wound Care Clinic of Charlotte Home Health Services of Charlotte The Wellness Center Sleep Center

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Punta Gorda HMA Physician Management, LLC	Florida	Davis Orthopedic Center Charlotte Harbor Cardiac Surgical Associates Vascular Associates of Charlotte County Xiaomei Gao-Hickman, MD-Neurology Chris Webb, M.D.
River Oaks Hospital, LLC	Mississippi	River Oaks Health System River Oaks Hospital
River Oaks Management Company, LLC	Mississippi	Preferred Medical Network Cardiovascular Services of Central Mississippi Care + Puckett Medical Clinic Central MS Bone Density and Joint Specialists Comprehensive Weight Management Center
River Oaks Medical Office Building, LLC	Mississippi
Riverpark Community Cath Lab, LLC	Delaware
Riverview Regional Medical Center, LLC	Delaware	Riverview Regional Medical Center
ROH, LLC	Mississippi	Woman’s Hospital at River Oaks
Rose City HMA, Inc.*	Pennsylvania	Lancaster Regional Medical Center Lancaster Regional Medical Center Home Health & Hospice
Santa Rosa HMA Physician Management, LLC	Florida	Santa Rosa Medical Group
Santa Rosa HMA Urgent Care, LLC	Florida	Santa Rosa Urgent Care
Sebastian Hospital, LLC	Florida	Sebastian River Medical Center Sebastian River Home Health
Sebastian HMA Physician Management, LLC	Florida	Sebastian Family Walk In Care Coastal Neurosurgery & Spine Kirk E. Maes, M.D.
Sebring HMA Physician Management, LLC	Florida	Highlands Medical Group Premier Women’s Health Care
Sebring Hospital Management Associates, LLC	Florida	Highlands Regional Medical Center Highlands Medical Group
Southeast HMA Holdings, LLC	Delaware
Southwest Florida HMA Holdings, LLC	Delaware
Southwest Physicians Risk Retention Group, Inc.	South Carolina
St. Cloud HMA Physician Management, LLC	Florida

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
St. Cloud Physician Management, LLC	Delaware	St. Cloud Medical Group East Lake Family Medicine Osceola GYN Associates Medical Solutions for Women St. Cloud Surgical Associates St. Cloud Orthopeadics
Statesboro HMA Physician Management, LLC	Georgia
Statesville HMA, LLC	North Carolina	Davis Regional Medical Center
Statesville HMA Physician Management, LLC	North Carolina	Carolina Urology Care
Summit Medical Center, LLC*	Arkansas
Tequesta HMA, Inc.*	Florida
The Surgery Center at Durant, LLC	Oklahoma	The Surgery Center at Durant
Tullahoma HMA, Inc.*	Tennessee	Harton Regional Medical Center Family Medical Center of Decherd Medical Home Health Care
Tullahoma HMA Physician Management, Inc.*	Tennessee	ENT of Tullahoma Highland Rim Medical Associates Highland Rim Orthopedics and Sports Medicine Hunters Lane Medical Manchester Family Medicine Tullahoma Women’s Center
Van Buren H.M.A., Inc.*	Arkansas	Summit Medical Center Complete Knee Center of Arkansas Cornerstone Family Clinic Cornerstone Medical Group Internal Medicine
Van Buren HMA Central Business Office, Inc.*	Arkansas
Venice HMA, LLC	Florida	Venice Regional Medical Center Home Health Services of Venice
Vicksburg HMA Physician Management, LLC	Mississippi	Medical Associates of Vicksburg
Wauchula HMA Physician Management, LLC	Florida	Pioneer Medical Center
Western Virginia HMA Physician Management, Inc.*	Virginia
Williamson Memorial Hospital, LLC	West Virginia	Williamson Memorial Hospital
Williamson HMA Physician Management, LLC	Delaware	Gilbert Health Center Tug Valley Pediatrics Williamson Anesthesia Williamson Cardiac Care Center Williamson Family Care Center Williamson Radiology Williamson Surgery Group
Winder HMA, LLC	Georgia	Barrow Regional Medical Center

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Subsidiaries of the Registrant

Entity	State of Incorporation or Organization	Doing Business As (If different from corporate name)
Yakima HMA, LLC	Washington	Yakima Regional Medical and Heart Center Yakima Regional Medical and Cardiac Center Yakima Regional Home Health Yakima Regional Hospice Yakima Regional Medical Center Pharmacy Toppenish Regional Medical Center Toppenish Regional Medical Center Pharmacy Toppenish Community Hospital
Yakima HMA Physician Management, LLC	Washington	Ahtanum Ridge Family Medicine Central Washington Endocrine Center Central Washington Internal Medicine & Endocrine     Center Central Washington Internal Medicine Central Washington Medical Group Central Washington Neurosciences Central Washington Occupational Medicine Central Washington Orthopedic Surgeons Central Washington Rehabilitation Central Washington Surgical Associates Emergency Physicians Toppenish Summitview Family Medicine Terrace Heights Family Physicians Toppenish Anesthesiology Vintage Valley Podiatry YRMC Anesthesiology YRMC Cardiology

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