UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Quarterly Period Ended March 31, 2001 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transaction period from to ---- ---- Commission File Number 000-18799 ----------- HEALTH MANAGEMENT ASSOCIATES, INC. ---------------------------------------------------------------------- (Exact name of Registrant as specified in its charter) DELAWARE 61-0963645 - -------------------------------- ---------------------------- (State or other jurisdiction (I.R.S. Employer of incorporation or organization) Identification Number) 5811 Pelican Bay Boulevard, Suite 500, Naples, Florida 34108-2710 - --------------------------------------------------------- -------------- (Address of principal executive offices) (Zip Code) (941)598-3131 ---------------------------------------------------- (Registrant's telephone number, including area code) Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months, and (2) has been subject to such filing requirements for the past 90 days. Yes X No --- --- At May 4, 2001, the following shares of the Registrant were outstanding: Class A Common Stock 245,071,639 shares HEALTH MANAGEMENT ASSOCIATES, INC. FORM 10-Q FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2001 INDEX ----- PART I. FINANCIAL INFORMATION Page Item 1. Financial Statements Consolidated Statements of Income-- Three Months Ended March 31, 2001 and 2000 ...................... 3 Consolidated Statements of Income-- Six Months Ended March 31, 2001 and 2000 ........................ 4 Condensed Consolidated Balance Sheets-- March 31, 2001 and September 30, 2000 ........................... 5 Condensed Consolidated Statements of Cash Flows-- Six Months Ended March 31, 2001 and 2000 ........................ 6 Notes to Interim Condensed Consolidated Financial Statements ...... 7-8 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations .................... 9-13 PART II. OTHER INFORMATION ............................................... 14-15 Signatures ............................................................... 16 Index To Exhibits ........................................................ 17-18 2 PART I. FINANCIAL INFORMATION Item 1. Financial Statements HEALTH MANAGEMENT ASSOCIATES, INC. CONSOLIDATED STATEMENTS OF INCOME (In thousands, except per share amounts) (Unaudited) Three months ended March 31, --------------------- 2001 2000 -------- -------- Net patient service revenue .......................... $481,144 $408,655 Costs and expenses: Salaries and benefits ............................. 177,520 143,179 Supplies and other ................................ 135,666 115,183 Provision for doubtful accounts ................... 33,051 32,885 Depreciation and amortization ..................... 22,116 18,534 Rent expense ...................................... 10,254 9,268 Interest, net ..................................... 5,272 6,503 Non-cash charge for retirement benefits and write down of assets held for sale .......... 17,000 -- -------- -------- Total costs and expenses ...................... 400,879 325,552 -------- -------- Income before income taxes ........................... 80,265 83,103 Provision for income taxes ........................... 31,525 32,616 -------- -------- Net income ........................................... $ 48,740 $ 50,487 ======== ======== Net income per share: Basic ............................................. $ .20 $ .21 ======== ======== Diluted ........................................... $ .19 $ .21 ======== ======== Weighted average number of shares outstanding: Basic ............................................. 244,117 241,064 ======== ======== Diluted ........................................... 263,100 244,979 ======== ======== See accompanying notes. 3 HEALTH MANAGEMENT ASSOCIATES, INC. CONSOLIDATED STATEMENTS OF INCOME (In thousands, except per share amounts) (Unaudited) Six months ended March 31, --------------------- 2001 2000 -------- -------- Net patient service revenue .......................... $915,381 $778,749 Costs and expenses: Salaries and benefits ............................. 346,673 279,607 Supplies and other ................................ 261,735 225,129 Provision for doubtful accounts ................... 68,956 67,058 Depreciation and amortization ..................... 43,546 36,666 Rent expense ...................................... 19,776 18,542 Interest, net ..................................... 11,308 12,193 Non-cash charge for retirement benefits and write down of assets held for sale .......... 17,000 -- -------- -------- Total costs and expenses ...................... 768,994 639,195 -------- -------- Income before income taxes ........................... 146,387 139,554 Provision for income taxes ........................... 57,469 54,775 -------- -------- Net income ........................................... $ 88,918 $ 84,779 ======== ======== Net income per share: Basic ............................................. $ .36 $ .35 ======== ======== Diluted ........................................... $ .35 $ .35 ======== ======== Weighted average number of shares outstanding: Basic ............................................. 243,671 241,492 ======== ======== Diluted ........................................... 263,689 244,863 ======== ======== See accompanying notes. 4 HEALTH MANAGEMENT ASSOCIATES, INC. CONDENSED CONSOLIDATED BALANCE SHEETS (In thousands) ASSETS ------ March 31, September 30, 2001 2000 ----------- ------------- (Unaudited) Current assets: Cash and cash equivalents .......................... $ 41,548 $ 16,471 Receivables--net ................................... 392,505 372,653 Supplies, prepaids and other assets ................ 66,554 57,866 Funds held by trustee .............................. 2,818 2,562 Deferred income taxes .............................. 37,411 37,411 ----------- ----------- Total current assets .......................... 540,836 486,963 Property, plant and equipment ........................ 1,393,889 1,352,819 Less accumulated depreciation and amortization ..... (324,855) (287,489) ----------- ----------- Net property, plant and equipment ............. 1,069,034 1,065,330 Other assets: Funds held by trustee .............................. 1,944 2,005 Excess of cost over acquired net assets, net ....... 206,833 195,004 Deferred charges and other assets .................. 19,932 22,763 ----------- ----------- Total ......................................... 228,709 219,772 ----------- ----------- $ 1,838,579 $ 1,772,065 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY ------------------------------------ Current liabilities: Accounts payable ................................... $ 87,340 $ 78,227 Accrued expenses and other liabilities ............. 77,600 82,910 Income taxes--currently payable and deferred ....... 4,285 2,122 Current maturities of long-term debt ............... 6,619 6,523 ----------- ----------- Total current liabilities ..................... 175,844 169,782 Deferred income taxes ................................ 27,896 34,496 Other long-term liabilities .......................... 31,747 17,570 Long-term debt ....................................... 464,940 520,151 Stockholders' equity: Preferred stock, $.01 par value, 5,000 shares authorized ................................ -- -- Common stock, Class A, $.01 par value, 750,000 shares authorized, 257,471 and 255,357 shares issued and outstanding at March 31, 2001 and September 30, 2000, respectively ........ 2,575 2,554 Additional paid-in capital ......................... 327,981 308,834 Retained earnings .................................. 919,087 830,169 ----------- ----------- 1,249,643 1,141,557 Less treasury stock, 12,500 shares at cost ......... (111,491) (111,491) ----------- ----------- Total stockholders' equity .................... 1,138,152 1,030,066 ----------- ----------- $ 1,838,579 $ 1,772,065 =========== =========== See accompanying notes. 5 HEALTH MANAGEMENT ASSOCIATES, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (In thousands) (Unaudited) Six months ended March 31, ---------------------- 2001 2000 --------- --------- Cash flows from operating activities: Net income ........................................ $ 88,918 $ 84,779 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization .................. 43,546 36,666 Provision for doubtful accounts ................ 68,956 67,058 Loss on sale of fixed assets ................... 10 16 Charges for retirement benefits and write down of assets held for sale ....... 17,000 -- Changes in assets and liabilities: Receivables .................................. (88,827) (93,495) Supplies and other current assets ............ (8,688) (9,133) Deferred charges and other assets ............ (5,569) (6,943) Accounts payable ............................. 9,113 2,873 Accrued expenses and other liabilities ....... (5,219) 3,148 Income taxes-- currently payable and deferred ............. 2,163 (12,511) Other long term liabilities .................. (6,363) 477 --------- --------- Net cash provided by operating activities . 115,040 72,935 --------- --------- Cash flows from investing activities: Additions to property, plant and equipment ........ (53,737) (56,442) Proceeds from sale of property, plant and equipment 2,929 148 --------- --------- Net cash used in investing activities ..... (50,808) (56,294) --------- --------- Cash flows from financing activities: Proceeds from long-term borrowings ................ 5,314 47,810 Principal payments on debt ........................ (63,442) (11,449) (Increase) decrease in funds held by trustee ...... (195) 763 Purchases of treasury stock ....................... -- (42,399) Proceeds from issuance of common stock ............ 19,168 108 --------- --------- Net cash used in financing activities ..... (39,155) (5,167) --------- --------- Net increase in cash ................ 25,077 11,474 Cash and cash equivalents at beginning of period .... 16,471 12,926 --------- --------- Cash and cash equivalents at end of period .......... $ 41,548 $ 24,400 ========= ========= See accompanying notes. 6 HEALTH MANAGEMENT ASSOCIATES, INC. NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 1. Basis of Presentation - ------------------------- The condensed consolidated balance sheet as of September 30, 2000 has been derived from the audited consolidated financial statements included in Health Management Associates, Inc.'s (the Company's) 2000 Annual Report. The interim condensed consolidated financial statements at March 31, 2001 and for the three and six month periods ended March 31, 2001 and 2000 are unaudited; however, such interim statements reflect all adjustments (consisting only of a normal recurring nature) which are, in the opinion of management, necessary for a fair presentation of the financial position and results of operations for the interim periods presented. The results of operations for the interim periods presented are not necessarily indicative of the results to be expected for the full year. The interim financial statements should be read in conjunction with the audited consolidated financial statements of the Company included in its 2000 Annual Report. 2. Use of Estimates - --------------------- The preparation of financial statements in conformity with generally accepted accounting principles requires management of the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements. Actual results could differ from the estimates. 3. Earnings Per Share - ---------------------- The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data): Three months ended Six months ended March 31, March 31, ------------------- ------------------- 2001 2000 2001 2000 -------- -------- -------- -------- Numerator: Numerator for basic earnings per share-net income ................ $ 48,740 $ 50,487 $ 88,918 $ 84,779 Effect of convertible debt ....... 1,337 -- 2,673 -- -------- -------- -------- -------- Numerator for diluted earnings per share ....................... $ 50,077 $ 50,487 $ 91,591 $ 84,779 ======== ======== ======== ======== Denominator: Denominator for basic earnings per share-weighted average shares 244,117 241,064 243,671 241,492 Effect of dilutive securities: Employee stock options .......... 4,534 3,915 5,569 3,371 Convertible debt ................ 14,449 -- 14,449 -- -------- -------- -------- -------- Denominator for diluted earnings per share ....................... 263,100 244,979 263,689 244,863 ======== ======== ======== ======== Basic earnings per share ............ $ .20 $ .21 $ .36 $ .35 ======== ======== ======== ======== Diluted earnings per share .......... $ .19 $ .21 $ .35 $ .35 ======== ======== ======== ======== 7 HEALTH MANAGEMENT ASSOCIATES, INC. NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 4. Non-Cash Charge - ------------------- The non-cash charge for retirement benefits and write down of assets held for sale represents (1) the present value of the future costs of retirement benefits granted to the Company's chairman pursuant to an employment agreement which became effective January 2, 2001, and (2) the write down of two hospital assets held for sale subsequent to their respective replacement. 8 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations Results of Operations --------------------- Three months ended March 31, 2001 compared ------------------------------------------ to three months ended March 31, 2000 ------------------------------------ Net patient service revenue for the three months ended March 31, 2001 ("2001 Period") was $481.1 million as compared to $408.7 million for the three months ended March 31, 2000 ("2000 Period"). This represented an increase in net patient service revenue of $72.4 million or 17.7%. Hospitals in operation for the entire 2001 Period and 2000 Period ("same hospitals") provided $31.4 million of the increase in net patient service revenue, resulting from patient volume increases. The remaining increase of $41.0 million included $43.0 million of net patient service revenue from the July 2000 acquisition of a 268-bed hospital, the September 2000 acquisition of a 120-bed hospital and the October 2000 acquisition of a 149-bed hospital, offset by a decrease of $2.0 million in Corporate and other revenue. During the 2001 Period the Company's hospitals generated total patient days of service and an occupancy rate of 238,835 and 52.8%, respectively, versus 213,763 and 50.4%, respectively, for the 2000 Period. Same hospital patient days and occupancy for the 2001 Period were 206,644 and 52.6%, respectively, versus 201,018 and 50.5%, respectively for the 2000 Period. Same hospital admissions for the Company during the 2001 Period were 44,942, up 5.3% from the 42,669 admissions during the 2000 Period. The Company's operating expenses (salaries and benefits, supplies and other, provision for doubtful accounts and rent expense) for the 2001 Period were $356.5 million or 74.1% of net patient service revenue as compared to $300.5 million or 73.5% of net patient service revenue for the 2000 Period. Of the total $56.0 million increase, approximately $20.0 million related to same hospitals, which was largely attributable to increased patient volumes. Another $35.5 million of increased operating expense related to the acquisitions mentioned previously. The remaining increase of $.5 million represented the net increase in Corporate and other operating expenses. The Company's depreciation and amortization costs increased by $3.6 million and interest expense decreased by $1.2 million. The increase in depreciation and amortization resulted primarily from the acquisitions mentioned previously. The decrease in interest expense was due to improved interest rates on borrowings and increased investment income (which is netted against interest expense) in the 2001 period. The non-cash charge for retirement benefits and write down of assets held for sale represents (1) the present value of the future costs of retirement benefits granted to the Company's chairman pursuant to an employment agreement which became effective January 2, 2001, and (2) the write down of two hospital assets held for sale subsequent to their respective replacement. 9 Item 2. Management's discussion and Analysis of Financial Condition and Results of Operations (continued) The Company's income before income taxes was $80.3 million for the 2001 Period. Excluding the non-recurring charge for retirement benefits and write down of assets held for sale of $17.0 million, income before income taxes was $97.3 million for the 2001 Period as compared to $83.1 million for the 2000 Period, an increase of $14.2 million or 17.1%. The increase resulted primarily from same hospital volume increases and the acquisitions mentioned previously. The Company's provision for income taxes was $31.5 million for the 2001 Period as compared to $32.6 million for the 2000 Period. These provisions reflect effective income tax rates of approximately 39.3% for both periods. As a result of the foregoing, the Company's net income was $48.7 million for the 2001 Period including the aforementioned charge, and $59.1 million for the 2001 Period excluding the charge, as compared to $50.5 million for the 2000 Period. Results of Operations --------------------- Six months ended March 31, 2001 compared ---------------------------------------- to six months ended March 31, 2000 ---------------------------------- Net patient service revenue for the six months ended March 31, 2001 ("2001 Six Month Period") was $915.4 million, as compared to $778.7 million for the six months ended March 31, 2000 ("2000 Six Month Period"). This represented an increase in net patient service revenue of $136.7 million, or 17.6%. Same hospitals provided $56.6 million of the increase in net patient service revenue, resulting from patient volume increases. The remaining increase of $80.1 million included $82.5 million of net patient service revenue from the acquisitions mentioned previously, offset by a decrease of $2.4 million in Corporate and other revenue. During the 2001 Six Month Period the Company's hospitals generated 448,266 total patient days of service and an occupancy rate of 49.0%, respectively, versus 408,023 and 47.8%, respectively, for the 2000 Six Month Period. Same hospital patient days and occupancy for the 2001 Six Month Period were 384,769 and 48.4%, respectively, versus 378,782 and 47.3%, respectively, for the 2000 Six Month Period. Same hospital admissions for the Company during the 2001 Six Month Period were 85,177 up 4.3% from the 81,690 admissions during the 2000 Six Month Period. The Company's operating expenses (salaries and benefits, supplies and other, provision for doubtful accounts and rent expense) for the 2001 Six Month Period were $697.1 million, or 76.2% of net patient service revenue as compared to $590.3 million or 75.8% of net patient service revenue for the 2000 Six Month Period. Of the total $106.8 million increase, approximately $37.8 million related to same hospitals, which was largely attributable to increased patient volumes. Another $68.1 million of increased operating expenses related to the hospital acquisitions mentioned previously. The remaining increase of $.9 million represented the net increase in Corporate and other operating expenses. 10 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) The Company's depreciation and amortization costs increased by $6.9 million and interest expense decreased by $.9 million. The increase in depreciation and amortization resulted primarily from the acquisitions previously mentioned. The decrease in interest expense was due to improved interest rates on borrowings and increased investment income (which is netted against interest expense) in the 2001 Six Month Period. The non-cash charge for retirement benefits and write down of assets held for sale represents (1) the present value of the future costs of retirement benefits granted to the Company's chairman pursuant to an employment agreement which became effective January 2, 2001, and (2) the write down of two hospital assets held for sale subsequent to their respective replacement. The Company's income before income taxes was $146.4 million for the 2001 Six Month Period. Excluding the non-recurring charge for retirement benefits and write down of assets held for sale of $17.0 million, income before income taxes was $163.4 for the 2001 Six Month Period as compared to $139.6 million for the 2000 Six Month Period, an increase of $23.8 million, or 17.0%. The increase resulted primarily from same hospital volume increases and the acquisitions mentioned previously. The Company's provision for income taxes was $57.5 million for the 2001 Six Month Period as compared to $54.8 million for the 2000 Six Month Period. These provisions reflect effective income tax rates of approximately 39.3% for both periods. As a result of the foregoing, the Company's net income was $88.9 million for the 2001 Six Month Period including the aforementioned charge, and $99.2 for the 2001 Six Month Period excluding the charge, as compared to $84.8 million for the 2000 Six Month Period. Liquidity and Capital Resources ------------------------------- 2001 Six Month Period Cash Flows compared to 2000 Six Month Period Cash Flows The Company's operating cash flows totaled $115.0 million for the 2001 Six Month Period as compared to $72.9 million for the 2000 Six Month Period. The continued positive cash flows from operating activities results from the Company's profitability and management of its working capital. The Company's investing activities used $50.8 million and $56.3 million for the 2001 Six Month Period and 2000 Six Month Period, respectively. Construction costs related to the replacement of existing hospitals accounted for the majority of the expenditures in the 2000 Six Month Period while ongoing renovation and capital equipment costs accounted for the majority of the expenditures in the 2001 Six Month Period. Financing activities used net cash of $39.2 million for the 2001 Six Month Period and $5.2 million for the 2000 Six Month Period. Increased principal payments on debt offset by proceeds from the issuance of common stock accounted for the majority of net cash used in the 2001 Six Month Period, while borrowings used primarily to finance the purchase of treasury stock accounted for the net cash used in the 2000 Six Month Period. See the Condensed Consolidated Statements of Cash Flows for the six months ended March 31, 2001 and 2000 at page 6 of this Report. 11 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) Capital Resources The Company currently has a 5-year $450 million Credit Agreement (the "Credit Agreement") due November 30, 2004. The Credit Agreement is a term loan agreement which permits the Company to borrow under an unsecured revolving credit loan at any time through November 30, 2004, at which time the agreement terminates and all outstanding amounts become due and payable. The Company may choose a Base Rate Loan (prime interest rate) or a Eurodollar Rate Loan (LIBOR interest rate). The interest rate for a Eurodollar Rate Loan is currently LIBOR plus 1.00 percent (6.06% at March 31, 2001), and will increase or decrease in relation to a change in the Company's credit rating. Under either alternative, quarterly interest payments are required. As of March 31, 2001, the outstanding balance was $80 million. The Company also has a $15 million unsecured revolving credit commitment with a bank. The $15 million credit is a working capital commitment which is tied to the Company's cash management system, and renews annually on November 1. Currently, interest on any outstanding balance is payable monthly at a fluctuating rate not to exceed the bank's prime rate less .25%. As of March 31, 2001, there were no amounts outstanding under this credit commitment. On August 16, 2000, the Company sold $488.8 million face value of zero-coupon convertible senior subordinated debentures for gross proceeds of $287.7 million. The debentures mature on August 16, 2020 unless converted or redeemed earlier. The debentures are convertible into the Company's class A common stock at a conversion rate of 29.5623 shares for each $1,000 principal amount of debentures converted (equivalent to a conversion price of $19.9125 per share). Interest on the debentures is payable in arrears on August 16 and February 16 of each year, beginning February 16, 2001 at a rate of .25% per year on the principal amount due at maturity. The rate of cash interest and accrual of original issue discount represent a yield to maturity of 3% per year, calculated from August 16, 2000. The Company used the net proceeds generated from the sale and issuance of the debentures to pay down borrowings under its revolving credit facility. Neither the debentures nor the shares of class A common stock underlying the debentures were registered or required to be registered under the Securities Act of 1933 and were sold in the United States in a private placement under Rule 144A of the Securities Act. Pursuant to a Registration Rights Agreement with the holders of the debentures, the Company registered the debentures and the underlying class A common stock for resale under the Securities Act pursuant to a registration statement on Form S-3, which registration statement became effective with the Securities and Exchange Commission on January 17, 2001. 12 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) Forward-Looking Statements -------------------------- Certain statements contained in this Form 10-Q, including, without limitation, statements containing the words "believes," "anticipates," "intends," " expects" and words of similar import, constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of the Company or industry results to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include, among others, the following: general economic and business conditions, both nationally and in the regions in which the Company operates; industry capacity; demographic changes; existing governmental regulations and changes in, or the failure to comply with, governmental regulations; legislative proposals for health care reform; the ability to enter into managed care proposals for health care reform; the ability to enter into Medicare and Medicaid payment levels; liability and other claims asserted against the Company; competition; the loss of any significant ability to attract and retain qualified personnel, including physicians; the availability and terms of capital to fund additional acquisitions or replacement facilities. Given these uncertainties, prospective investors are cautioned not to place undue reliance on such forward-looking statements. The Company disclaims any obligation to update any such factors or to publicly announce the results of any revision to any of the forward-looking statements contained herein to reflect future events or developments. 13 PART II - OTHER INFORMATION Item 1. Legal Proceedings. ----------------- None. Item 2. Changes in Securities. --------------------- None. Item 3. Defaults upon Senior Securities. ------------------------------- None. Item 4. Submission of Matters to a Vote of Security Holders. --------------------------------------------------- At the Annual Meeting of Stockholders of the Company on February 20, 2001, the stockholders of the Company adopted proposals to: a) elect seven directors of the Company Votes For Withheld ---------- ---------- William J. Schoen 210,450,829 2,818,891 Kent P. Dauten 210,394,530 2,875,190 Robert A. Knox 210,394,230 2,875,490 Charles R. Lees 210,394,280 2,875,440 Kenneth D. Lewis 210,394,530 2,875,190 William E. Mayberry, M.D. 210,394,530 2,875,190 Randolph W. Westerfield, Ph.D. 210,394,530 2,875,190 b) approve and ratify the selection of Ernst & Young LLP as the Company's independent auditors for the fiscal year ending September 30, 2001 (213,098,772 votes for; 61,174 votes against; 109,774 votes abstained) Item 5. Other Information. ----------------- None. Item 6. Exhibits and Reports on Form 8-K. -------------------------------- a. Exhibits: -------- See Index to Exhibits located on page 17. 14 PART II - OTHER INFORMATION (continued) Item 6. Exhibits and Reports on Form 8-K. (continued) --------------------------------- b. Reports on Form 8-K: ------------------- Form 8-K Reporting Date--March 9, 2001 Item Reported--Item 5. Other Events and Regulation FD Disclosure. The Company filed Form 8-K to announce (a) the promotion of Mr. Robert E. Farnham to Senior Vice President and Chief Financial Officer and (b) the retirement of Mr. Stephen M. Ray, Executive Vice President and Chief Financial Officer. 15 SIGNATURES Pursuant to the requirements of the securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized. HEALTH MANAGEMENT ASSOCIATES, INC. DATE: May 7, 2001 BY: /s/ Robert E. Farnham ------------------------------ Robert E. Farnham Senior Vice President-Finance (Duly authorized officer and Principal Financial Officer) 16 INDEX TO EXHIBITS (2) Plan of acquisition, reorganization, arrangement, liquidation or succession. Not applicable. (3) (i) Articles of Incorporation 3.1 The Fifth Restated Certificate of Incorporation, previously filed and included as Exhibit 3.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1995, is incorporated herein by reference. 3.2 Certificate of Amendment to Fifth Restated Certificate of Incorporation, previously filed and included as Exhibit 3.2 to the Company's Annual Report on Form 10-K for the year ended September 30, 1999, is incorporated herein by reference. (ii) By-laws The By-laws, as amended are filed as part of this Report as Exhibit 3.3 at page 19 hereof. (4) Instruments defining the rights of security holders, including indentures. The Exhibits referenced under (3) of this Index to Exhibits are incorporated herein by reference. Credit Agreement by and among Health Management Associates, Inc., as Borrower, Bank of America, N.A., as Administrative Agent and as Lender, First Union National Bank, as Syndication Agent and as Lender, and the Chase Manhattan Bank, as Syndication Agent and as Lender, and The Lenders Party Hereto From Time To Time, dated November 30, 1999, previously filed and included as Exhibit 4.5 to the Company's Annual Report on Form 10-K for the fiscal year ended September 30, 1999, is incorporated herein by reference. Credit Agreement dated March 23, 2000 between First Union National Bank and Health Management Associates, Inc., pertaining to a $15 million working capital and cash management line of credit, previously filed and included as Exhibit 4.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2000, is incorporated herein by reference. (10) Material contracts. Employment Agreement for William J. Schoen dated January 2, 2001, previously filed and included as Exhibit 99.2 to the Company's Registration Statement Form S-8 as filed on January 12, 2001 is incorporated herein by reference. 17 INDEX TO EXHIBITS (Continued) (11) Statement re computation of per share earnings. Not applicable. (15) Letter re unaudited interim financial information. Not applicable. (18) Letter re change in accounting principles. Not applicable. (19) Report furnished to security holders. Not applicable. (22) Published report regarding matters submitted to vote of security holders. Not applicable. (23) Consents of experts and counsel. Not applicable. (24) Power of attorney. Not applicable. (99) Additional exhibits. Not applicable. 18