Exhibit 3.3

                                         Certified to be a true and correct copy
                                         of the By-laws of the Corporation, as
                                         amended through February 20, 2001.

                                         /s/ Timothy R. Parry
                                         --------------------
                                        Timothy R. Parry, Secretary

                       HEALTH MANAGEMENT ASSOCIATES, INC.

                                     BY-LAWS

                                    ARTICLE I

                                     OFFICES

         Section 1. The registered office shall be in the City of Wilmington,
         ---------
County of New Castle, State of Delaware.

        Section 2. The corporation may also have offices at such other places
        ----------
both within and without the State of Delaware as the board of directors may from
time to time determine or the business of the corporation may require.

                                   ARTICLE II

                            MEETINGS OF STOCKHOLDERS

         Section 1. Except as otherwise provided in the certificate of
         ----------
incorporation, meetings of the stockholders for the election of directors shall
be held in the City of Fort Myers, Florida, at such place as may be fixed from
time to time by the board of directors, or at such other place either within or
without the State of Delaware as shall be designated from time to time by the
board of directors and stated in the notice of the meeting.


                                       19


         Section 2. Annual meetings of stockholders shall be held on the first
         ----------
Wednesday of February if not a legal holiday, and if a holiday, then on the next
secular day following or as shall be designated from time to time by the board
of directors and stated in the notice of the meeting, at which they shall elect
by a plurality vote a board of directors (except as otherwise provided in the
certificate of incorporation), and transact such other business as may properly
be brought before the meeting.

         Section 3. Written notice of the annual meeting stating the place, date
         ----------
and hour of the meeting shall be given to each stockholder entitled to vote at
such meeting not less than ten or more than sixty days before the date of the
meeting.

         Section 4. The officer who has charge of the stock ledger of the
         ----------
corporation shall prepare and make, at least ten days before every meeting of
stockholders, a complete list of the stockholders entitled to vote at the
meeting, arranged in alphabetical order, and showing the address of each
stockholder and the number of shares registered in the name of each stockholder.
Such list shall be open to the examination of any stockholder, for any purpose
germane to the meeting, during ordinary business hours, for a period of at least
ten days prior to the meeting, either at a place within the city where the
meeting is to be held, which place shall be specified in the notice of the
meeting, or, if not so specified, at the place where the meeting is to be held.
The list shall also be produced and kept at the time and place of the meeting
during the whole time thereof, and may be inspected by any stockholder who is
present.

         Section 5. Special meetings of the stockholders, for any purpose or
         ----------
purposes, unless otherwise prescribed by statute or by the certificate of
incorporation, may be called by the


                                       20


chairman of the board or chief executive officer and shall be called by the
chief executive officer or secretary at the request in writing of a majority of
the board of directors, or at the request in writing of stockholders owning a
majority in amount of the entire capital stock of the corporation issued and
outstanding and entitled to vote. Such request shall state the purpose or
purposes of the proposed meeting.

         Section 6. Written notice of a special meeting of stockholders stating
         ----------
the place, date and hour of the meeting and the purpose or purposes for which
the meeting is called, shall be given not less than ten or nor more than sixty
days before the date of the meeting, to each stockholder entitled to vote at
such meeting.

         Section 7. Business transacted at any special meeting of stockholders
         ----------
shall be limited to the purposes stated in the notice.

        Section 8. The holders of a majority of the stock issued and outstanding
        ----------
and entitled to vote thereat, present in person or represented by proxy, shall
constitute a quorum at all meetings of the stockholders for the transaction of
business except as otherwise provided by statute or by the certificate of
incorporation. If, however, such quorum shall not be present or represented at
any meeting of the stockholders, the stockholders entitled to vote thereat,
present in person or represented by proxy, shall have power to adjourn the
meeting from time to time, without notice other than announcement at the
meeting, until a quorum shall be present or represented. At such adjourned
meeting at which a quorum shall be present or represented any business may be
transacted which might have been transacted at the meeting as originally
notified. If the adjournment is for more than thirty days, or if after the
adjournment a new


                                       21


record date is fixed for the adjourned meeting, a notice of the adjourned
meeting shall be given to each stockholder of record entitled to vote at the
meeting.

         Section 9. When a quorum is present at any meeting, the vote of the
         ----------
holders of a majority of the stock having voting power present in person or
represented by proxy shall decide any question brought before such meeting,
unless the question is one upon which by express provision of the statutes or of
the certificate of incorporation, a different vote is required in which case
such express provision shall govern and control the decision of such question.

         Section 10. Unless otherwise provided in the certificate of
         -----------
incorporation each stockholder shall at every meeting of the stockholders be
entitled to one vote in person or by proxy for each share of the capital stock
having voting power held by such stockholder, but no proxy shall be voted on
after three years from its date, unless the proxy provides for a longer period.

         Section 11. Unless otherwise provided in the certificate of
         -----------
incorporation, any action required to be taken at any annual or special meeting
of stockholders of the corporation, or any action which may be taken at any
annual or special meeting of such stockholders, may be taken without a meeting,
without prior notice and without a vote, if a consent in writing, setting forth
the action so taken, shall be signed by the holders of outstanding stock having
not less than the minimum number of votes that would be necessary to authorize
or take such action at a meeting at which all shares entitled to vote thereon
were present and voted. Prompt notice of the taking of the corporate action
without a meeting by less than unanimous written consent shall be given to those
stockholders who have not consented in writing.


                                       22


                                   ARTICLE III

                                    DIRECTORS

         Section 1. Except as otherwise provided in the certification of
         ----------
incorporation, the number of directors which shall constitute the whole board
shall be not less than five nor more than nine, and, within such limits, the
number of directors shall be determined by resolution of the board of directors
or by the stockholders at the annual meeting. The directors shall be elected at
the annual meeting of the stockholders, except as provided in Section 2 of this
Article and except as provided in the certificate of incorporation, and each
director elected shall hold office until his successor is elected and qualified.
Directors need not be stockholders.

         Section 2. Except as otherwise provided in the certificate of
         ----------
incorporation, vacancies and newly created directorships resulting from any
increase in the authorized number of directors may be filled by a majority of
the directors then in office, though less than a quorum, or by a sole remaining
director, and the directors so chosen shall hold office until the next annual
election and until their successors are duly elected and qualified, unless
sooner removed from office. If there are no directors in office, then an
election of directors may be held in the manner provided by statute. If, at the
time of filling any vacancy or any newly created directorship, the directors
then in office shall constitute less than a majority of the whole board (as
constituted immediately prior to any such increase), the Delaware Court of
Chancery may,


                                       23


upon application of any stockholder or stockholders holding at least ten percent
of the total number of the shares at the time outstanding having the right to
vote for such directors, summarily order an election to be held to fill any such
vacancies or newly created directorships, or to replace the directors chosen by
the directors then in office.

         Section 3.  The business of the corporation shall be managed by and be
         ----------
under the direction of its board of directors which may exercise all such powers
of the corporation and do all such lawful acts and things as are not by statute
or by the certificate of incorporation or by these by-laws directed or required
to be exercised or done by the stockholders.

                       MEETINGS OF THE BOARD OF DIRECTORS

         Section 4. The board of directors of the corporation may hold meetings,
         ----------
both regular and special, either within or without the State of Delaware.

         Section 5. The first meeting of each newly elected board of directors
         ----------
shall be held at such time and place as shall be fixed by the vote of the
stockholders at the annual meeting and no notice of such meeting shall be
necessary to the newly elected directors in order legally to constitute the
meeting, provided a quorum shall be present. In the event of the failure of the
stockholders to fix the time or place of such first meeting of the newly elected
board of directors, or in the event such meeting is not held at the time and
place so fixed by the stockholders, the meeting may be held at such time and
place as shall be specified in a notice given as hereinafter provided for
special meetings of the board of directors, or as shall be specified in a
written waiver signed by all of the directors.

         Section 6. Regular meetings of the board of directors may be held
         ----------
without notice at such time and at such place as shall from time to time be
determined by the board.


                                       24


         Section 7. Special meetings of the board may be called by the chairman
         ----------
of the board or the chief executive officer on three days' notice to each
director, either personally or by mail or by telegram. Special meetings shall be
called by the chief executive officer or secretary in like manner and on like
notice on the written request of two directors unless the board consists of only
one director, in which case special meetings shall be called by the chairman of
the board, chief executive officer, or secretary in like manner and on like
notice on the written request of the sole director.

         Section 8. At all meetings of the board a majority of the directors
         ----------
shall constitute a quorum for the transaction of business and the act of a
majority of the directors present at any meeting at which there is a quorum
shall be the act of the board of directors, except as may be otherwise
specifically provided by statute or by the certificate of incorporation. If a
quorum shall not be present at any meeting of the board of directors the
directors present thereat may adjourn the meeting from time to time, without
notice other than announcement at the meeting, until a quorum shall be present.

         Section 9. Unless otherwise restricted by the certificate of
         ----------
incorporation or these by-laws, any action required or permitted to be taken at
any meeting of the board of directors or of any committee thereof may be taken
without a meeting, if all members of the board or committee, as the case may be,
consent thereto in writing, and the writing or writings are filed with the
minutes of proceeding of the board or committee thereof, as the case may be.

         Section 10. Unless otherwise restricted by the certificate of
         -----------
incorporation or these by-laws, members of the board of directors, or any
committee designated by the board of directors, may participate in a meeting of
the board of directors, or any committee, by means


                                       25



of conference telephone or similar communications equipment by means of which
all persons participating in the meeting can hear each other, and such
participation in a meeting shall constitute presence in person at the meeting.

                             COMMITTEES OF DIRECTORS

         Section 11. The board of directors may, by resolution passed by a
         -----------
majority of the whole board, designate one or more committees, each committee to
consist of one or more of the directors of the corporation. The board may
designate one or more directors as alternate members of any committee, who may
replace any absent or disqualified member at any meeting of the committee. In
the absence or disqualification of a member of a committee, the member or
members thereof present at any meeting and not disqualified from voting, whether
or not he or they constitute a quorum, may unanimously appoint another member of
the board of directors to act at the meeting in the place of any such absent or
disqualified member.

         Any such committee, to the extent provided in the resolution of the
board of directors, shall have and may exercise all the powers and authority of
the board of directors in the management of the business and affairs of the
corporation, and may authorize the seal of the corporation to be affixed to all
papers which may require it; but no such committee shall have the power or
authority in reference to amending the certificate of incorporation, adopting an
agreement of merger or consolidation, recommending to the stockholders the sale,
lease or exchange of all or substantially all of the corporation's property and
assets, recommending to the stockholders a dissolution of the corporation or a
revocation of a dissolution, or amending the by-laws of the corporation; and,
unless the resolution or the certificate of incorporation expressly so provide,
no such committee shall have the power or authority to declare a


                                       26


dividend or to authorize the issuance of stock. Such committee or committees
shall have such name or names as may be determined from time to time by
resolution adopted by the board of directors.

         Section 12. Each committee shall keep regular minutes of its meetings
         -----------
and report the same to the board of directors when required.


                            COMPENSATION OF DIRECTORS

         Section 13. Unless otherwise restricted by the certificate of
         -----------
incorporation or these by-laws, the board of directors shall have the authority
to fix the compensation of directors. The directors may be paid their expenses,
if any, of attendance at each meeting of the board of directors and may be paid
a fixed sum for attendance at each meeting of the board of directors or a stated
salary as director. No such payment shall preclude any director from serving the
corporation in any other capacity and receiving compensation therefor. Members
of special or standing committees may be allowed like compensation for attending
committee meetings.

                              REMOVAL OF DIRECTORS

          Section 14. Unless otherwise restricted by the certificate of
         -----------
incorporation or by-law, any director or the entire board of directors may be
removed, with or without cause, by the holders of a majority of shares entitled
to vote at an election of directors.


                                       27

                                   ARTICLE IV

                                     NOTICES

         Section 1. Whenever, under the provisions of the statutes or of the
         ----------
certificate of incorporation or of these by-laws, notice is required to be given
to any director or stockholder, it shall not be construed to mean personal
notice, but such notice may be given in writing, by mail, addressed to such
director or stockholder, at his address as it appears on the records of the
corporation, with postage thereon prepaid, and such notice shall be deemed to be
given at the time when the same shall be deposited in the United States mail.
Notice to directors may also be given by telegram or telecopier.

         Section 2. Whenever any notice is required to be given under the
         ----------
provisions of the statutes or of the certificate of incorporation of these
by-laws, a waiver thereof in writing, signed by the person or persons entitled
to said notice, whether before or after the time stated therein, shall be deemed
equivalent thereto.

                                    ARTICLE V

                                    OFFICERS

         Section 1. The officers of the corporation shall be chosen by the board
         ----------
of directors and shall consist of a chairman of the board, a chief executive
officer, a president, a secretary and a treasurer. The board of directors may
also choose a vice-chairman and vice-presidents, giving them such designations
(including without limitation the designations of executive vice-president and
senior vice-president) as the board may determine, and one or more assistant
vice-presidents, assistant secretaries and assistant treasurers. Any number of
offices may be held by the same person, unless the certificate of incorporation
or these by-laws otherwise provide.


                                       28


         Section 2. The board of directors following each annual meeting of
         ----------
stockholders shall choose a chairman of the board, a chief executive officer, a
president, one or more vice-presidents, a secretary, and a treasurer.

         Section 3. The board of directors may appoint such other officers and
         ----------
agents as it shall deem necessary who shall hold their offices for such terms
and shall exercise such powers and perform such duties as shall be determined
from time to time by the board.

         Section 4.  The salaries of all officers and agents of the corporation
         ----------
shall be fixed by the board of directors.

         Section 5.  The officers of the corporation shall hold office until
         ----------
their successors are chosen and qualified. Any officer elected or appointed by
the board of directors may be removed at any time by the affirmative vote of a
majority of the board of directors. Any vacancy occurring in any office of the
corporation shall be filled by the board of directors.

                            THE CHAIRMAN OF THE BOARD

         Section 6. The chairman of the board shall preside at all meetings of
         ----------
the stockholders and all meetings of the board of directors and shall perform
such other duties as may be assigned from time to time by the board of
directors.

                           THE CHIEF EXECUTIVE OFFICER

         Section 7. The chief executive officer shall have general and active
         ----------
management of the business of the corporation and shall see that all orders and
resolutions of the board of directors are carried into effect. He shall execute
bonds, mortgages and other contracts requiring a seal, under the seal of the
corporation, except where required or permitted by law to be otherwise signed
and executed and except where the signing and execution thereof shall


                                       29


be expressly delegated by the board of directors to some other officer or agent
of the corporation. In the absence of the chief executive officer or in the
event of his inability or refusal to act, the powers and duties of the chief
executive officer shall be exercised and performed by such executive officer or
officers as may be designated by the board of directors. If there be no chairman
of the board, the chief executive officer shall perform all of the duties of the
chairman of the board.

                                  VICE CHAIRMAN

         Section 8. The Vice Chairman, if there be one, shall perform such
         ----------
duties and have such powers as the board of directors or the chief executive
officer may from time to time prescribe.

                                  THE PRESIDENT

         Section 9. The president shall perform such duties and have such powers
         ----------
as the board of directors or the chief executive officer may from time to time
prescribe.

                               THE VICE-PRESIDENTS

         Section 10. The vice-presidents shall have such designations (including
         -----------
without limitation the designations of executive vice-president and senior
vice-president) as the board of directors may determine. Each vice-president
shall perform such duties and have such powers as the board of directors or the
chief executive officer may from time to time prescribe.

                                  THE SECRETARY

         Section 11. The secretary shall attend all meetings of the board of
         -----------
directors and all meetings of the stockholders and record all the proceedings of
the meetings of the corporation


                                       30


and of the board of directors in a book to be kept for that purpose and shall
perform like duties for the standing committees when required. He shall give, or
cause to be given, notice of all meetings of the stockholders and special
meetings of the board of directors, and shall perform such other duties as may
be prescribed by the board of directors or the chief executive officer, under
whose supervision he shall be. He shall have custody of the corporate seal of
the corporation and he, or an assistant secretary, shall have authority to affix
the same to any instrument requiring it and when so affixed, it may be attested
by his signature or by the signature of such assistant secretary. The board of
directors may give general authority to any other officer to affix the seal of
the corporation and to attest the affixing by his signature.

                                  THE TREASURER

         Section 12. The treasurer shall have the custody of the corporate funds
         -----------
and securities and shall keep full and accurate accounts of receipts and
disbursements in books belonging to the corporation and shall deposit all monies
and other valuable effects in the name and to the credit of the corporation in
such depositories as may be designated by the board of directors.

         Section 13. The treasurer shall disburse the funds of the corporation
         -----------
as may be ordered by the board of directors, taking proper vouchers for such
disbursements, and shall render to the chief executive officer and the board of
directors, at its regular meetings, or when the board of directors so requires,
an account of all his transactions as treasurer and of the financial condition
of the corporation.

         Section 14. If required by the board of directors, the treasurer shall
         -----------
give the corporation a bond (which shall be renewed every six years) in such sum
and with such surety or sureties as shall be satisfactory to the board of
directors for the faithful performance of the


                                       31


duties of his office and for the restoration to the corporation, in case of his
death, resignation, retirement or removal from office, of all books, papers,
vouchers, money and other property of whatever kind in his possession or under
his control belonging to the corporation.

                               ASSISTANT OFFICERS

         Section 15. The assistant vice-presidents, assistant secretaries and
         -----------

assistant treasurers whom the board of directors may appoint from time to time,
as it may deem proper, shall perform such duties and have such powers as the
board of directors or the chief executive officer may from time to time
prescribe.

                                   ARTICLE VI

                              CERTIFICATES OF STOCK

         Section 1. Every holder of stock in the corporation shall be entitled
         ----------
to have a certificate, signed by, or in the name of the corporation by, (a) the
chairman of the board, chief executive officer, president or any vice-president,
and (b) the treasurer or an assistant treasurer, or the secretary or an
assistant secretary of the corporation, certifying the number of shares owned by
him in the corporation.

                  Certificates may be issued for partly paid shares and in such
case upon the face or back of the certificates issued to represent any such
partly paid shares, the total amount of the consideration to be paid therefor
and the amount paid thereon shall be specified.

                  If the corporation shall be authorized to issue more than one
class of stock or more than one series of any class, the powers, designations,
preferences and relative, participating, optional or other special rights of
each class of stock or series thereof and the qualification, limitations or
restrictions of such preferences and/or rights shall be set forth in


                                       32


full or summarized on the face or back of the certificate which the corporation
shall issue to represent such class or series of stock, provided that, except as
otherwise provided in Section 202 of the General Corporation Law of Delaware, in
lieu of the foregoing requirements, there may be set forth on the face or back
of the certificate which the corporation shall issue to represent such class or
series of stock, a statement that the corporation shall furnish without charge
to each stockholder who so requests the powers, designations, preferences and
relative, participating, optional or other special rights of each class of stock
or series thereof and the qualifications, limitations or restrictions of such
preferences and/or rights.

         Section 2. Any of or all the signatures on the certificate may be
         ----------
facsimile. In case any officer, transfer agent or registrar who has signed or
whose facsimile signature has been placed upon a certificate shall have ceased
to be such officer, transfer agent or registrar before such certificate is
issued, it may be issued by the corporation with the same effect as if he were
such officer, transfer agent or registrar at the date of issue.

                                LOST CERTIFICATES

         Section 3. The board of directors may direct a new certificate or
         ----------
certificates to be issued in place of any certificate or certificates
theretofore issued by the corporation alleged to have been lost, stolen or
destroyed, upon the making of an affidavit of that fact by the person claiming
the certificate of stock to be lost, stolen or destroyed. When authorizing such
issue of a new certificate or certificates, the board of directors may, in its
discretion and as a condition precedent to the issuance thereof, require the
owner of such lost, stolen or destroyed certificate or certificates, or his
legal representative, to advertise the same in such manner as it shall require
and/or to give the corporation a bond in such sum as it may direct as indemnity
against


                                       33


any claim that may be made against the corporation with respect to the
certificate alleged to have been lost, stolen or destroyed.

                                TRANSFER OF STOCK

         Section 4. Upon surrender to the corporation or the transfer agent of
         ----------
the corporation of a certificate for shares duly endorsed or accompanied by
proper evidence of succession, assignation or authority to transfer, it shall be
the duty of the corporation to issue a

new certificate to the person entitled thereto, cancel the old certificate and
record the transaction upon its books.

                               FIXING RECORD DATE

         Section 5. In order that the corporation may determine the stockholders
         ----------
entitled to notice of or to vote at any meeting of stockholders or any
adjournment thereof, or to express consent to corporate action in writing
without a meeting, or entitled to receive payment of any dividend or other
distribution or allotment of any rights, or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful action, the board of directors may fix, in advance, a record date,
which shall not be more than sixty nor less than ten days before the date of
such meeting, nor more than sixty days prior to any other action. A
determination of stockholders of record entitled to notice of or to vote at a
meeting of stockholders shall apply to any adjournment of the meeting; provided,
however, that the board of directors may fix a new record date for the adjourned
meeting.

                             REGISTERED STOCKHOLDERS

         Section 6. The corporation shall be entitled to recognize the exclusive
         ----------
right of a person registered on its books as the owner of shares to receive
dividends, and to vote as such owner,


                                       34


and to hold liable for calls and assessments a person registered on its books as
the owner of shares, and shall not be bound to recognize any equitable or other
claim to or interest in such share or shares on the part of any other person,
whether or not it shall have express or other notice thereof, except as
otherwise provided by the laws of Delaware.


                                   ARTICLE VII

                               GENERAL PROVISIONS

                                    DIVIDENDS

         Section 1. Dividends upon the capital stock of the corporation, subject
         ----------
to the provisions of the certificate of incorporation, if any, may be declared
by the board of the directors at any regular or special meeting, pursuant to
law. Dividends may be paid in cash, in property, or in shares of capital stock,
subject to the provisions of the certificate of incorporation.

         Section 2. Before payment of any dividend, there may be set aside out
         ----------
of any funds of the corporation available for dividends such sum or sums as the
directors from time to time, in their absolute discretion, think proper as a
reserve or reserves to meet contingencies, or for equalizing dividends, or for
repairing or maintaining any property of the corporation, or for such other
purpose as the directors shall think conducive to the interest of the
corporation, and the directors may modify or abolish any such reserve in the
manner in which it was created.


                                       35


                                ANNUAL STATEMENT

         Section 3. The board of directors shall present at each annual meeting,
         ----------
and at any special meeting of the stockholders when called for by vote of the
stockholders, a full and clear statement of the business and condition of the
corporation.

                                     CHECKS

         Section 4. All checks or demands for money and notes of the corporation
         ----------
shall be signed by such officer or officers or such other person or persons as
the board of directors may from time to time designate.

                                   FISCAL YEAR

         Section 5. The fiscal year of the corporation shall be fixed by
         ----------
resolution of the board of directors.

                                      SEAL

         Section 6. The corporate seal shall have inscribed thereon the name of
         ----------
the corporation, the year of its organization and the words "Corporate Seal,
Delaware." The seal may be used by causing it or a facsimile thereof to be
impressed or affixed or reproduced or otherwise.


                                       36

                                  ARTICLE VIII

                FLORIDA GENERAL CORPORATION ACT - SECTION 607.109

         Section 1. As permitted by Section 607.109(5) of the Florida General
         ----------
Corporation Act, the provisions of Section 607.109(5) of the Florida General
Corporation Act shall not apply to control-share acquisitions of shares of the
corporation.

         Section 2. As permitted by Section 607.109(11) of the Florida General
         ----------
Corporation Act, the corporation hereby elects not to be governed by the
provisions of Section 607.109(11); accordingly, in the event control shares
acquired in a control-share acquisition are accorded full voting rights and the
acquiring person has acquired control shares with a majority or more of all
voting power, shareholders of the corporation shall not have dissenters' rights
as provided under Section 607.109(11) of the Florida General Corporation Act.


                                   ARTICLE IX

                                   AMENDMENTS

         Section 1. These by-laws may be altered, amended or repealed or new
         ----------
by-laws may be adopted by the stockholders or by the board of directors, when
such power is conferred upon the board of directors by the certificate of
incorporation, at any regular meeting of the stockholders or of the board of
directors or at any special meeting of the stockholders or of the board of
directors if notice of such alteration, amendment, repeal or adoption of new
by-laws be contained in the notice of such special meeting. If the power to
adopt, amend or repeal by-laws is conferred upon the board of directors by the
certificate of incorporation, it shall not divest or limit the power of the
stockholders to adopt, amend or repeal by-laws.

                                       37