Health Management Associates 8-K Results of Operations and Financial Condition

Exhibit 99.1

PRESS RELEASE

FOR IMMEDIATE RELEASE

Contact: John C. Merriwether Vice President of Financial Relations Health Management Associates, Inc. (239) 598-3131

HEALTH MANAGEMENT ASSOCIATES, INC. INCREASES

4^TH QUARTER 2009 EARNINGS PER SHARE 71% TO $0.12

AND INCREASES 4^TH QUARTER 2009 NET REVENUE 10% TO $1.2 BILLION

NAPLES, FLORIDA (February 22, 2010) Health Management Associates, Inc. (NYSE: HMA)today announced its consolidated financial results for the fourth quarter and year ended December 31, 2009. For the quarter, Health Management reported net revenue of $1,198.8 million and earnings before interest, income taxes, depreciation and amortization, and gains on sales of assets (“EBITDA”) of $170.8 million. During the fourth quarter, income from continuing operations was $36.6 million and net income attributable to Health Management’s common stockholders was $34.1 million, or $0.14 per diluted share. Excluding certain gains and losses on sales of assets, gains on early extinguishment of debt, and investment impairment, as shown in the tables accompanying this press release, diluted earnings per share from continuing operations increased 71.4% to $0.12 as compared to $0.07 per diluted share for the same quarter a year ago. The tables accompanying this press release also include a reconciliation of consolidated net income to all presentations of EBITDA (which is not a GAAP measure) contained in this press release, and such tables also contain other important information regarding how Health Management defines and uses EBITDA. Moreover, the tables accompanying this press release also contain information that reconcile amounts previously reported by Health Management for the three months and year ended December 31, 2008 to those reported in this press release.

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Health Management Associates, Inc. / Page 2

For continuing operations at hospitals owned and operated by Health Management for one year or more, referred to as same hospital continuing operations, compared to the prior year’s fourth quarter, net revenue increased 7.9%, admissions increased 1.5%, adjusted admissions (reflecting total admissions adjusted for outpatient volume) increased 3.9%, emergency room visits increased 6.4% and surgeries increased 0.5%. Same hospital net revenue per adjusted admission grew 3.9% while same hospital EBITDA from continuing operations for the fourth quarter increased 14.9% to $200.3 million, or 17.0% of net revenue, compared to $174.3 million, or 16.0% of net revenue, for the same quarter in the prior year.

“We are very pleased with our strong finish to 2009. We exceeded our expectations, and believe we lead our peer group in same hospital admissions growth throughout the year,” said Gary D. Newsome, Health Management’s President and Chief Executive Officer. “Our performance in 2009 underscored our commitment to three key areas: emergency room operations, physician recruitment and market service development, and we expect additional opportunities for improvement in these areas throughout 2010. As we enter the new year, we will continue our disciplined operating approach, leverage our leadership strengths, and seek to further increase the value of our company through acquisitions.”

Health Management’s provision for doubtful accounts, or bad debt expense, was $147.2 million, or 12.3% of net revenue, for the fourth quarter compared to $125.7 million, or 11.5% of net revenue, for the same quarter a year ago.

Uninsured discounts for the fourth quarter were $163.5 million, compared to $139.9 million for the same period a year ago. Charity/indigent care write-offs for the quarter were $22.1 million, compared to $17.5 million for the same quarter in the prior year. The sum of uninsured discounts, charity/indigent write-offs and bad debt expense, as a percent of the sum of net revenue, uninsured discounts and charity/indigent write-offs, was 24.0% for the fourth quarter, compared to 25.7% for the third quarter ended September 30, 2009, and 22.7% for the same quarter a year ago.

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Health Management Associates, Inc. / Page 3

Cash flow from continuing operating activities for the year ended December 31, 2009 was $442.3 million, after cash interest and cash tax payments aggregating $241.6 million. During the year ended December 31, 2009, Health Management reduced the principal amount of its debt by nearly $192 million, which exceeded its full year 2009 debt repayment goal of $150 million. As a result, Health Management’s total debt-to-EBITDA ratio and interest coverage ratio were 4.40 and 3.11, respectively, at December 31, 2009. These ratios are well within the requirements of Health Management’s credit facilities.

For the year ended December 31, 2009, Health Management reported net revenue of $4,617.1 million and EBITDA of $679.4 million. Likewise, income from continuing operations for the year was $159.4 million and income from continuing operations, excluding certain gains on sales of assets, gains on early extinguishment of debt, and investment impairment attributable to Health Management’s common stockholders was $123.7 million, or $0.50 per diluted share, a 42.9% increase compared to $0.35 per diluted share for the year ended December 31, 2008.

Effective December 1, 2009, Health Management completed its acquisition of the 492-bed Sparks Health System located in Fort Smith, Arkansas. “We couldn’t have re-entered the acquisition landscape with a better hospital or community,” said Mr. Newsome. “Our leadership team at Sparks has hit the ground running and is leveraging the synergies between Sparks and our Summit Medical Center in nearby Van Buren, Arkansas. This acquisition is a great opportunity to expand our services in the greater Fort Smith/Van Buren region. Our acquisition pipeline remains active, and we will remain disciplined in our approach as we believe we will have additional acquisition opportunities with excellent potential in 2010.”

Health Management’s management team will hold a conference call and webcast to discuss the contents of this press release and its consolidated financial results for the fourth quarter and year ended December 31, 2009 on Tuesday, February 23, 2010 at 11:30 a.m. EST. Investors are invited to access the webcast via Health Management’s website at www.HMA.com or via www.streetevents.com. Alternatively, investors may join the conference call by dialing 877-476-3476.

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Health Management Associates, Inc. / Page 4

Health Management will archive a copy of the audio webcast, along with any related information that Health Management may be required to provide pursuant to Securities and Exchange Commission rules, on its website under the heading “Investor Relations,” for a period of 60 days following the conference call.

Health Management’s mission is to deliver compassionate and high quality health care services that improve the quality of life for its patients, physicians, and the communities it serves. Through its subsidiaries, Health Management owns and operates 55 hospitals in non-urban communities in 15 states with approximately 8,400 licensed beds. All references to “Health Management,” “HMA” or the “Company” used in this release refer to Health Management Associates, Inc. and its affiliates.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements are subject to risks, uncertainties and assumptions and are identified by words such as “expects,” “estimates,” “projects,” “anticipates,” “believes,” “could” and other similar words. All statements addressing operating performance, events or developments that Health Management Associates, Inc. expects or anticipates will occur in the future, including but not limited to projections of revenue, income or loss, capital expenditures, earnings per share, debt structure, bad debt expense, capital structure, repayment of indebtedness, other financial items, statements regarding the plans and objectives of management for future operations, statements regarding acquisitions, divestitures and other proposed or contemplated transactions, statements of future economic performance, statements of the assumptions underlying or relating to any of the foregoing statements, and other statements which are other than statements of historical fact, are considered to be “forward-looking statements.”

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Because they are forward-looking, such statements should be evaluated in light of important risk factors and uncertainties. These risk factors and uncertainties are more fully described in Health Management Associates, Inc.’s most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Forms 10-Q under the heading entitled “Risk Factors.” Should one or more of these risks or uncertainties materialize, or should any of Health Management Associates, Inc.’s underlying assumptions prove incorrect, actual results could vary materially from those currently anticipated. In addition, undue reliance should not be placed on Health Management Associates, Inc.’s forward-looking statements. Except as required by law, Health Management Associates, Inc. disclaims any obligation to update or publicly announce any revisions to any of the forward-looking statements contained in this press release.

(financial tables follow)

HEALTH MANAGEMENT ASSOCIATES, INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited, in thousands except per share amounts)

	Three Months Ended December 31,						Years Ended December 31,
	2009			2008			2009			2008
				(as adjusted)						(as adjusted)
Net revenue	$	1,198,770		$	1,089,918		$	4,617,143		$	4,360,466
Operating expenses:
Salaries and benefits		478,285			453,419			1,810,550			1,792,584
Supplies		167,102			148,419			647,153			595,445
Provision for doubtful accounts		147,164			125,664			567,036			490,136
Depreciation and amortization		61,912			59,151			241,110			232,301
Rent expense		28,007			23,067			103,067			89,908
Other operating expenses		207,441			194,077			809,938			767,744
Total operating expenses		1,089,911			1,003,797			4,178,854			3,968,118
Income from operations		108,859			86,121			438,289			392,348
Other income (expense):
Gains (losses) on sales of assets, net		(692	)		474			1,244			169,614
Interest and other income (expense), net		2,253			(4,784	)		3,752			416
Interest expense		(54,456	)		(58,473	)		(217,941	)		(245,405	)
Gains on early extinguishment of debt, net		—			15,894			16,202			15,194
Write-offs of deferred financing costs		—			—			(444	)		(1,497	)
Income from continuing operations before income taxes		55,964			39,232			241,102			330,670
Provision for income taxes		(19,355	)		(12,617	)		(81,747	)		(118,580	)
Income from continuing operations		36,609			26,615			159,355			212,090
Income (loss) from discontinued operations, net of income taxes		3,544			(14,331	)		4,586			(27,933	)
Consolidated net income		40,153			12,284			163,941			184,157
Net income attributable to noncontrolling interests		(6,025	)		(5,254	)		(25,759	)		(16,008	)
Net income attributable to Health Management Associates, Inc.	$	34,128		$	7,030		$	138,182		$	168,149
Earnings (loss) per share attributable to Heath Management Associates, Inc. common stockholders:
Basic and diluted:
Continuing operations	$	0.12		$	0.09		$	0.54		$	0.80
Discontinued operations		0.02			(0.06	)		0.02			(0.11	)
Net income	$	0.14		$	0.03		$	0.56		$	0.69
Weighted average number of shares outstanding:
Basic		246,648			243,485			245,381			243,307
Diluted		249,171			244,366			246,965			244,671
Net income attributable to Health Management Associates, Inc.
Income from continuing operations, net of income taxes	$	30,584		$	21,294		$	134,374		$	196,013
Income (loss) from discontinued operations, net of income taxes		3,544			(14,264	)		3,808			(27,864	)
Net income attributable to Health Management Associates, Inc.	$	34,128		$	7,030		$	138,182		$	168,149

HEALTH MANAGEMENT ASSOCIATES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

	Years Ended December 31,
	2009			2008
				(as adjusted)
Cash flows from operating activities:
Consolidated net income	$	163,941		$	184,157
Adjustments to reconcile consolidated net income to net cash provided by continuing operating activities:
Depreciation and amortization		247,910			246,038
Provision for doubtful accounts		567,036			490,136
Stock-based compensation expense		10,867			18,226
Gains on sales of assets, net		(1,244	)		(169,614	)
Gains on sales of available-for-sale securities		(1,384	)		—
Other than temporary charge for available-for-sale securities		—			6,165
Write-offs of deferred financing costs		444			1,497
Gains on early extinguishment of debt, net		(16,202	)		(15,194	)
Long-lived asset impairment charge		—			921
Deferred income tax expense		90,467			111,194
Changes in assets and liabilities of continuing operations:
Accounts receivable		(606,099	)		(516,399	)
Supplies, prepaid expenses and other current assets		(3,890	)		(10,747	)
Prepaid and recoverable income taxes		(309	)		34,759
Deferred charges and other long-term assets		(11,282	)		(4,638	)
Accounts payable, accrued expenses and other liabilities		6,830			11,762
Equity compensation excess income tax benefits		(218	)		—
(Income) loss from discontinued operations, net of income taxes		(4,586	)		27,933
Net cash provided by continuing operating activities		442,281			416,196
Cash flows from investing activities:
Acquisitions and other		(138,764	)		(8,526	)
Additions to property, plant and equipment		(200,063	)		(211,016	)
Proceeds from sales of assets		5,448			17,570
Proceeds from sales of discontinued operations		—			18,166
Purchases of available-for-sale securities		(86,527	)		—
Proceeds from sales of available-for-sale securities		50,000			—
Decreases in restricted funds, net		11,590			14,510
Net cash used in continuing investing activities		(358,316	)		(169,296	)
Cash flows from financing activities:
Proceeds from long-term debt		38,000			244,471
Principal payments on debt and capital lease obligations		(194,932	)		(766,687	)
Proceeds from exercises of stock options		9,699			—
Payments of financing costs		—			(350	)
Cash received from noncontrolling shareholders, net		54,796			327,655
Cash payments to noncontrolling shareholders		(35,377	)		(4,285	)
Equity compensation excess income tax benefits		218			—
Net cash used in continuing financing activities		(127,596	)		(199,196	)
Net increase (decrease) in cash and cash equivalents before discontinued operations		(43,631	)		47,704
Net increases (decreases) in cash and cash equivalents from discontinued operations:
Operating activities		6,888			(20,708	)
Investing activities		(440	)		(6,820	)
Financing activities		(413	)		(549	)
Net increase (decrease) in cash and cash equivalents		(37,596	)		19,627
Cash and cash equivalents at beginning of the period		143,614			123,987
Cash and cash equivalents at end of the period	$	106,018		$	143,614

HEALTH MANAGEMENT ASSOCIATES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(unaudited, in thousands)

	December 31, 2009		December 31, 2008
			(as adjusted)
Assets
Current Assets:
Cash and cash equivalents	$	106,018	$	143,614
Available-for-sale securities		36,585		—
Accounts receivable, net		656,171		621,505
Other current assets		261,394		253,208
Assets of discontinued operations		12,754		90,633
Property, plant and equipment, net		2,498,916		2,388,070
Restricted funds		38,848		37,117
Other assets		993,413		1,020,085
Total assets	$	4,604,099	$	4,554,232
Liabilities and Stockholders’ Equity
Current liabilities	$	525,897	$	490,452
Deferred income taxes		133,451		94,023
Other long-term liabilities		578,459		539,904
Long-term debt		3,004,672		3,144,042
Stockholders’ equity		361,620		285,811
Total liabilities and stockholders’ equity	$	4,604,099	$	4,554,232

	Three Months Ended December 31,						Years Ended December 31,
	2009			2008			2009			2008
Continuing Operations
Occupancy		44.2	%		44.7	%		44.9	%		45.1	%
Patient days		325,249			317,953			1,302,409			1,285,504
Admissions		77,568			75,096			310,366			300,339
Adjusted admissions		137,063			129,419			542,231			519,407
Average length of stay		4.2			4.2			4.2			4.3
Surgeries		67,885			66,450			268,758			269,712
Emergency room visits		341,436			316,746			1,375,507			1,300,216
Net revenue (in 000’s)	$	1,198,770		$	1,089,918		$	4,617,143		$	4,360,466
Total inpatient revenue percentage		49.6	%		52.7	%		51.3	%		52.2	%
Total outpatient revenue percentage		50.4	%		47.3	%		48.7	%		47.8	%
Same Hospital
Occupancy		44.2	%		44.7	%		44.9	%		45.1	%
Patient days		318,648			317,953			1,295,808			1,285,504
Admissions		76,207			75,096			309,005			300,339
Adjusted admissions		134,520			129,419			539,691			519,407
Average length of stay		4.2			4.2			4.2			4.3
Surgeries		66,774			66,450			267,647			269,712
Emergency room visits		337,082			316,746			1,371,153			1,300,216
Net revenue (in 000’s)	$	1,176,563		$	1,089,918		$	4,594,936		$	4,360,466
Total inpatient revenue percentage		50.2	%		52.7	%		51.5	%		52.2	%
Total outpatient revenue percentage		49.8	%		47.3	%		48.5	%		47.8	%

HEALTH MANAGEMENT ASSOCIATES, INC.

SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION

(unaudited, in thousands)

	Three Months Ended December 31,						Years Ended December 31,
	2009			2008			2009			2008
Net revenue	$	1,198,770		$	1,089,918		$	4,617,143		$	4,360,466
Less acquisitions		22,207			—			22,207			—
Same hospital net revenue	$	1,176,563		$	1,089,918		$	4,594,936		$	4,360,466
Consolidated net income	$	40,153		$	12,284		$	163,941		$	184,157
Adjustments:
(Income) loss from discontinued operations, net of income taxes		(3,544	)		14,331			(4,586	)		27,933
Provision for income taxes		19,355			12,617			81,747			118,580
(Gains) losses on sales of assets, net		692			(474	)		(1,244	)		(169,614	)
Interest and other (income) expense, net		(2,253	)		4,784			(3,752	)		(416	)
Interest expense		54,456			58,473			217,941			245,405
Gains on early extinguishment of debt, net		—			(15,894	)		(16,202	)		(15,194	)
Write-offs of deferred financing costs		—			—			444			1,497
Depreciation and amortization		61,912			59,151			241,110			232,301
EBITDA (a)		170,771			145,272			679,399			624,649
Adjustment for acquisitions, corporate and other		29,513			28,991			110,262			99,763
Same hospital operating EBITDA	$	200,284		$	174,263		$	789,661		$	724,412
Same hospital operating EBITDA margins =
Same hospital operating EBITDA / Same hospital net revenue (a)		17.0	%		16.0	%		17.2	%		16.6	%

(a) EBITDA is defined as consolidated net income before discontinued operations, net gains on sales of assets, net interest and other income, interest expense, net gains on early extinguishment of debt, write-offs of deferred financing costs, provision for income taxes, and depreciation and amortization. EBITDA margin is defined as EBITDA divided by net revenue. EBITDA does not represent cash flows from operating activities as defined by generally accepted accounting principles in the United States, commonly known as GAAP, and should not be considered as either an alternative to net income or as an indicator of HMA’s operating performance or as an alternative to cash flows as a measure of HMA’s liquidity. Nevertheless, HMA believes that providing non-GAAP information regarding EBITDA is important for investors and other readers of HMA’s financials statements, as it provides a measure of HMA’s liquidity. In addition, EBITDA is commonly used as an analytical indicator within the health care industry and HMA’s debt facilities contain covenants that use EBITDA in their calculations. Because EBITDA is not a measure determined in accordance with GAAP and is thus susceptible to varying calculations, EBITDA, as presented, may not be directly comparable to other similarly titled measures used by other companies.

HEALTH MANAGEMENT ASSOCIATES, INC.

SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION

(unaudited, in thousands, except per share amounts)

The following tables provide information regarding income from continuing operations attributable to HMA, excluding the impact of the net gains (losses) on sales of assets and of noncontrolling interests, gains on early extinguishment of debt, and investment impairment. These tables are a non-GAAP presentation; nonetheless, HMA believes that providing this detail is beneficial to investors and other readers of HMA’s financial statements due to the significant impact these items had on income from continuing operations attributable to HMA.

Three Months Ended December 31, 2009

	Continuing Operations			Losses on Sales of Assets			Total, As Reported
Income from continuing operations before income taxes	$	56,656		$	(692	)	$	55,964
Net income from continuing operations attributable to noncontrolling interests		(6,025	)		—			(6,025	)
Income from continuing operations before income taxes attributable to HMA		50,631			(692	)		49,939
Provision for income taxes		(19,623	)		268			(19,355	)
Income from continuing operations attributable to HMA common stockholders	$	31,008		$	(424	)	$	30,584
Earnings per share attributable to Health Management Associates, Inc. common stockholders:
Basic	$	0.12		$	—		$	0.12
Diluted	$	0.12		$	—		$	0.12

Three Months Ended December 31, 2008

	Continuing Operations			Gains on Sales of Assets			Gains on Early Extinguishment of Debt			Investment Impairment			Total, As Reported
Income from continuing operations before income taxes	$	29,029		$	474		$	15,894		$	(6,165	)	$	39,232
Net income from continuing operations attributable to noncontrolling interests		(5,321	)		—			—			—			(5,321	)
Income from continuing operations before income taxes attributable to HMA		23,708			474			15,894			(6,165	)		33,911
Provision for income taxes		(8,657	)		(175	)		(5,881	)		2,096			(12,617	)
Income from continuing operations attributable to HMA common stockholders	$	15,051		$	299		$	10,013		$	(4,069	)	$	21,294
Earnings per share attributable to Health Management Associates, Inc. common stockholders:
Basic	$	0.07		$	—		$	0.04		$	(0.02	)	$	0.09
Diluted	$	0.07		$	—		$	0.04		$	(0.02	)	$	0.09

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HEALTH MANAGEMENT ASSOCIATES, INC.

SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION

(unaudited, in thousands, except per share amounts)

Year Ended December 31, 2009

	Continuing Operations			Gains on Sales of Assets			Gains on Early Extinguishment of Debt			Total, As Reported
Income from continuing operations before income taxes	$	223,656		$	1,244		$	16,202		$	241,102
Net income from continuing operations attributable to noncontrolling interests		(24,981	)		—			—			(24,981	)
Income from continuing operations before income taxes attributable to HMA		198,675			1,244			16,202			216,121
Provision for income taxes		(74,987	)		(482	)		(6,278	)		(81,747	)
Income from continuing operations attributable to HMA common stockholders	$	123,688		$	762		$	9,924		$	134,374
Earnings per share attributable to Health Management Associates, Inc. common stockholders:
Basic	$	0.50		$	—		$	0.04		$	0.54
Diluted	$	0.50		$	—		$	0.04		$	0.54

Year Ended December 31, 2008

	Continuing Operations			Gains on Sales of Assets and Noncontrolling Interests			Gains on Early Extinguishment of Debt			Investment Impairment			Total, As Reported
Income from continuing operations before income taxes	$	152,027		$	169,614		$	15,194		$	(6,165	)	$	330,670
Net income from continuing operations attributable to noncontrolling interests		(16,077	)		—			—			—			(16,077	)
Income from continuing operations before income taxes attributable to HMA		135,950			169,614			15,194			(6,165	)		314,593
Provision for income taxes		(51,021	)		(63,928	)		(5,727	)		2,096			(118,580	)
Income from continuing operations attributable to HMA common stockholders	$	84,929		$	105,686		$	9,467		$	(4,069	)	$	196,013
Earnings per share attributable to Health Management Associates, Inc. common stockholders:
Basic	$	0.35		$	0.43		$	0.04		$	(0.02	)	$	0.80
Diluted	$	0.35		$	0.43		$	0.04		$	(0.02	)	$	0.80

HEALTH MANAGEMENT ASSOCIATES, INC.

SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION

(unaudited, in thousands)

The tables below adjust HMA’s historical consolidated statements of income for the impact of new accounting guidance related to noncontrolling interests and convertible debt and reclassifies certain amounts into discontinued operations.

Three Months Ended December 31, 2008

	As Reported			Effects of the Noncontrolling Interest Guidance			Effects of the Convertible Debt Guidance			Discontinued Operations and Other Reclassifications			As Adjusted
Net revenue	$	1,111,826		$	—		$	—		$	(21,908	)	$	1,089,918
Total operating expenses		1,025,536			—			—			(21,739	)		1,003,797
Income from operations		86,290			—			—			(169	)		86,121
Gains on sales of assets, net		347			—			—			127			474
Interest and other income, net		(4,784	)		—			—			—			(4,784	)
Interest expense		(56,462	)		—			(2,022	)		11			(58,473	)
Gains on early extinguishment of debt, net		26,404			—			(10,510	)		—			15,894
Income from continuing operations before minority interests and income taxes		51,795			—			(12,532	)		(31	)		39,232
Minority interests in earnings of consolidated entities		(5,254	)		5,254			—			—			—
Income from continuing operations before income taxes		46,541			5,254			(12,532	)		(31	)		39,232
Provision for income taxes		(17,498	)		—			5,013			(132	)		(12,617	)
Income from continuing operations		29,043			5,254			(7,519	)		(163	)		26,615
Loss from discontinued operations, net of income taxes		(14,494	)		—			—			163			(14,331	)
Consolidated net income		14,549			5,254			(7,519	)		—			12,284
Net income attributable to noncontrolling interests		—			(5,254	)		—			—			(5,254	)
Net income attributable to Health Management Associates, Inc.	$	14,549		$	—		$	(7,519	)	$	—		$	7,030

Year Ended December 31, 2008

	As Reported			Effects of the Noncontrolling Interest Guidance			Effects of the Convertible Debt Guidance			Discontinued Operations and Other Reclassifications			As Adjusted
Net revenue	$	4,451,611		$	—		$	—		$	(91,145	)	$	4,360,466
Total operating expenses		4,055,411			—			—			(87,293	)		3,968,118
Income from operations		396,200			—			—			(3,852	)		392,348
Gains on sales of assets, net		211,501			—			—			(41,887	)		169,614
Interest and other income, net		416			—			—			—			416
Interest expense		(238,749	)		—			(6,710	)		54			(245,405	)
Gains on early extinguishment of debt, net		6,944			—			8,250			—			15,194
Write-offs of deferred financing costs		(1,497	)		—			—			—			(1,497	)
Income from continuing operations before minority interests and income taxes		374,815			—			1,540			(45,685	)		330,670
Minority interests in earnings of consolidated entities		(16,008	)		16,008			—			—			—
Income from continuing operations before income taxes		358,807			16,008			1,540			(45,685	)		330,670
Provision for income taxes		(135,505	)		—			(616	)		17,541			(118,580	)
Income from continuing operations		223,302			16,008			924			(28,144	)		212,090
Loss from discontinued operations, net of income taxes		(56,077	)		—			—			28,144			(27,933	)
Consolidated net income		167,225			16,008			924			—			184,157
Net income attributable to noncontrolling interests		—			(16,008	)		—			—			(16,008	)
Net income attributable to Health Management Associates, Inc.	$	167,225		$	—		$	924		$	—		$	168,149

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