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 December 31, 2001 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from ____ to____ Commission File No. 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 No.) 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 February 6, 2002, the following shares of the Registrant were outstanding: Class A Common Stock 241,734,411 shares HEALTH MANAGEMENT ASSOCIATES, INC. FORM 10-Q FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 2001 INDEX ----- PART I. FINANCIAL INFORMATION Page Item 1. Financial Statements Consolidated Statements of Income-- Three Months Ended December 31, 2001 and 2000 .................. 3 Condensed Consolidated Balance Sheets-- December 31, 2001 and September 30, 2001 ....................... 4 Condensed Consolidated Statements of Cash Flows-- Three Months Ended December 31, 2001 and 2000 .................. 5 Notes to Interim Condensed Consolidated Financial Statements ..... 6-8 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations ....................... 9-12 Item 3. Quantitative and Qualitative Disclosures About Market Risk.......................................... 12 PART II. OTHER INFORMATION ............................................ 13 Signatures ................................................................ 14 Index To Exhibits ......................................................... 15-16 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 December 31, --------------------- 2001 2000 -------- -------- Net patient service revenue .......................... $495,821 $434,237 Costs and expenses: Salaries and benefits ............................. 195,748 169,153 Supplies and other ................................ 143,433 126,069 Provision for doubtful accounts ................... 36,878 35,905 Depreciation and amortization ..................... 21,648 21,430 Rent expense ...................................... 10,926 9,522 Interest, net ..................................... 4,116 6,036 -------- -------- Total costs and expenses ...................... 412,749 368,115 -------- -------- Income before income taxes ........................... 83,072 66,122 Provision for income taxes ........................... 32,606 25,944 -------- -------- Net income ........................................... $ 50,466 $ 40,178 ======== ======== Net income per share: Basic ............................................. $ .21 $ .17 ======== ======== Diluted ........................................... $ .20 $ .16 ======== ======== Weighted average number of shares outstanding: Basic ............................................. 243,649 243,234 ======== ======== Diluted ........................................... 263,365 264,297 ======== ======== See accompanying notes. 3 HEALTH MANAGEMENT ASSOCIATES, INC. CONDENSED CONSOLIDATED BALANCE SHEETS (in thousands) ASSETS ------- December 31, September 30, 2001 2001 ------------ ------------- (Unaudited) Current assets: Cash and cash equivalents .................................... $ 118,160 $ 70,263 Receivables--net ............................................. 381,713 380,136 Supplies, prepaids and other assets .......................... 79,876 69,139 Funds held by trustee ........................................ 2,973 1,892 Deferred income taxes ........................................ 43,801 43,801 ----------- ----------- Total current assets .................................... 626,523 565,231 Property, plant and equipment .................................. 1,569,389 1,453,903 Less accumulated depreciation and amortization ............... (384,244) (364,490) ----------- ----------- Net property, plant and equipment ....................... 1,185,145 1,089,413 Other assets: Funds held by trustee ........................................ 1,744 1,791 Excess of cost over acquired net assets, net ................. 302,281 251,315 Deferred charges and other assets ............................ 34,970 33,827 ----------- ----------- Total ................................................... 338,995 286,933 ----------- ----------- $ 2,150,663 $ 1,941,577 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY ------------------------------------ Current liabilities: Accounts payable ............................................. $ 122,810 $ 91,862 Accrued expenses and other liabilities ....................... 98,764 88,117 Income taxes--currently payable and deferred ................. 29,726 1,356 Current maturities of long-term debt ......................... 7,322 6,752 ----------- ----------- Total current liabilities ............................... 258,622 188,087 Deferred income taxes .......................................... 34,286 34,286 Other long-term liabilities .................................... 36,894 36,565 Long-term debt ................................................. 600,038 428,990 Stockholders' equity: Preferred stock, $.01 par value, 5,000 shares authorized .......................................... - - Common stock, Class A, $.01 par value, 750,000 shares authorized, 259,115 and 258,074 shares issued at December 31, 2001 and September 30, 2001, respectively ........................... 2,591 2,581 Additional paid-in capital ................................... 343,193 340,192 Retained earnings ............................................ 1,075,613 1,025,147 ----------- ----------- 1,421,397 1,367,920 Less treasury stock, 17,096 and 12,639 shares at cost at December 31, 2001 and September 30, 2001, respectively ........................... (200,574) (114,271) ----------- ----------- Total stockholders' equity .............................. 1,220,823 1,253,649 ----------- ----------- $ 2,150,663 $ 1,941,577 =========== =========== See accompanying notes. 4 HEALTH MANAGEMENT ASSOCIATES, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) (unaudited) Three months ended December 31, --------------------------------- 2001 2000 --------- --------- Cash flows from operating activities: Net income ........................................................... $ 50,466 $ 40,178 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization ..................................... 21,648 21,430 Provision for doubtful accounts ................................... 36,878 35,905 Loss on sale of fixed assets ...................................... - 4 Changes in assets and liabilities: Receivables ..................................................... (23,690) (61,839) Supplies and other current assets ............................... (7,147) (5,746) Deferred charges and other assets ............................... 898 (9,980) Accounts payable ................................................ 21,974 7,989 Accrued expenses and other liabilities .......................... 1,216 5,376 Income taxes-- currently payable and deferred ................................ 28,370 21,892 Other long term liabilities ..................................... (2,171) (178) --------- --------- Net cash provided by operating activities .................... 128,442 55,031 --------- --------- Cash flows from investing activities: Acquisition of facilities, net of cash acquired ...................... (186,520) - Additions to property, plant and equipment ........................... (20,582) (16,520) Proceeds from sale of property, plant and equipment .................. 40,052 2,792 --------- --------- Net cash used in investing activities ........................ (167,050) (13,728) --------- --------- Cash flows from financing activities: Proceeds from long-term borrowings ................................... 172,639 2,673 Principal payments on debt ........................................... (2,090) (31,641) Proceeds from issuance of common stock ............................... 3,011 5,112 Purchase of treasury stock, at cost .................................. (86,021) - (Increase) decrease in funds held by trustee ......................... (1,034) 133 --------- --------- Net cash provided by (used in) financing activities .......... 86,505 (23,723) --------- --------- Net increase in cash and cash equivalents .............. 47,897 17,580 Cash and cash equivalents at beginning of period ....................... 70,263 16,471 --------- --------- Cash and cash equivalents at end of period ............................. $ 118,160 $ 34,051 ========= ========= See accompanying notes. 5 HEALTH MANAGEMENT ASSOCIATES, INC. NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 1. Basis of Presentation The condensed consolidated balance sheet as of September 30, 2001 has been derived from the audited consolidated financial statements included in Health Management Associates, Inc.'s (the "Company's") 2001 Annual Report on Form 10-K. The interim condensed consolidated financial statements at December 31, 2001 and for the three months ended December 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 2001 Annual Report on Form 10-K. 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 December 31, --------------------- 2001 2000 -------- -------- Numerator: Numerator for basic earnings per share-net income $ 50,466 $ 40,178 Effect of convertible debt 1,355 1,337 -------- -------- Numerator for diluted earnings per share $ 51,821 $ 41,515 ======== ======== Denominator: Denominator for basic earnings per share-weighted average shares 243,649 243,234 Effect of dilutive securities: Employee stock options 5,267 6,614 Convertible debt 14,449 14,449 -------- -------- Denominator for diluted earnings per share 263,365 264,297 ======== ======== Basic earnings per share $ .21 $ .17 ======== ======== Diluted earnings per share $ .20 $ .16 ======== ======== 6 HEALTH MANAGEMENT ASSOCIATES, INC. NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 4. Acquisitions Effective December 1, 2001, the Company acquired the East Pointe Hospital pursuant to an Asset Purchase Agreement. The Agreement included the purchase of substantially all property, plant and equipment of the hospital. The total consideration approximated $16.5 million in cash. The Company used cash on hand to finance the cost of this transaction. Effective January 1, 2002, the Company completed the acquisition of four acute-care hospitals from Clarent Hospital Corporation for approximately $170 million in cash. On the same day the Company sold one of these hospitals to Universal Health Services, Inc. for $40.0 million in cash. The Company used amounts available under its credit agreement to finance the net cost of these transactions. These transactions closed on December 31, 2001 with an effective date of January 1, 2002 and are reflected in the Company's balance sheet and statement of cash flows as of December 31, 2001 and for the three month period then ended. 5. Recent Accounting Pronouncements As of July 1, 2001, the Company adopted the provisions of SFAS No. 141, Business Combinations, and as of October 1, 2001, the Company adopted the provisions of SFAS No. 142, Goodwill and Other Intangible Assets. SFAS No. 141 requires that the purchase method of accounting be used for all business combinations entered into after June 30, 2001. SFAS No. 141 also specifies criteria intangible assets acquired in a purchase method business combination must meet to be recognized and reported apart from goodwill, noting that any purchase price allocable to an assembled workforce may not be accounted for separately. SFAS No. 142 requires that goodwill and intangible assets with indefinite useful lives no longer be amortized, but instead tested for impairment at least annually in accordance with the provisions of SFAS No. 142. The transition provisions of SFAS No. 142 require the completion of a transitional impairment test within six months of adoption of SFAS No. 142, with any impairments identified accounted for as a cumulative effect of a change in accounting principal. In accordance with SFAS No. 142, the Company discontinued the amortization of goodwill effective October 1, 2001. During the quarter ended December 31, 2000, the Company recorded approximately $2.2 million of goodwill amortization expense which reduced earnings by approximately $1.3 million (net of tax expense of approximately $0.9 million), or approximately $0.005 per share, basic and diluted. The Company has not yet determined the effect of adoption of the impairment testing requirements of SFAS No. 142 on the Company's business, results of operations, or financial condition. The Company will perform and report the results of its transitional impairment tests under SFAS No. 142 in the Company's March 31, 2002 financial statements. 7 HEALTH MANAGEMENT ASSOCIATES, INC. NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 6. Subsequent Events On January 28, 2002, the Company issued and sold $330.0 million in face value of Zero-Coupon Convertible Senior Subordinated Notes (the "Notes") for gross proceeds of approximately $277.0 million. The Notes are the Company's general unsecured obligations and are subordinated in right of payment to the Company's existing and future indebtedness that is not, by its terms, expressly subordinated or pari passu in right of payments to the Notes. The Company's Convertible Senior Subordinated Debentures due 2020 (the "Debentures") rank pari passu with the Notes. The Notes mature on January 28, 2022 unless converted or redeemed earlier. Upon the occurrence of certain events, the Notes are convertible into the Company's common stock at a conversion rate of 32.1644 shares of common stock for each $1,000 principal amount of the Notes (equivalent to a conversion price of $26.11 per share). The equivalent number of shares associated with the offering become dilutive (included in the Company's earnings per share calculation) when the Company's common stock attains a level of $31.33 for at least 20 trading days of the 30 trading days prior to the conversion or the Notes otherwise become convertible. The accrual of original issue discount represents a yield to maturity of 0.875% per year calculated from January 22, 2002, excluding any contingent interest. Holders may require the Company to purchase all or a portion of their Notes on January 28, 2005, January 28, 2007, January 28, 2012 and January 28, 2017 for a purchase price per note of $862.07, $877.25, $916.40 and $957.29, respectively, plus accrued and unpaid interest to each purchase date. The Company will pay cash for all Notes so purchased on January 28, 2005. The Company may choose to pay the purchase price in cash or common stock or a combination of cash and common stock for purchases on or after January 28, 2007. In addition, upon a change in control of the Company occurring on or before January 28, 2007, each holder may require the Company to purchase all or a portion of such holder's Notes. The Company may redeem all or a portion of the Notes at any time on or after January 28, 2007. The Company has agreed to file a registration statement with respect to the Notes and shares of common stock underlying the Notes by April 29, 2002 and to have such registration statement become effective by June 27, 2002. On January 29, 2002, the Company announced that it had completed its current stock repurchase program. The Company purchased a total of 5,000,000 shares of the Company's common stock since September 2001 under the program. 8 Item 2. Management's discussion and Analysis of Financial Condition and Results of Operations Results of Operations Three months ended December 31, 2001 compared to three months ended December 31, 2000 Net patient service revenue for the three months ended December 31, 2001 ("2002 Period") was $495.8 million, as compared to $434.2 million for the three months ended December 31, 2000 ("2001 Period"). This represented an increase in net patient service revenue of $61.6 million, or 14.2%. Hospitals in operation for the entire 2002 Period and 2001 Period ("same hospitals") provided $36.6 million of the increase in net patient service revenue which resulted primarily from inpatient and outpatient volume increases and rate increases. The remaining net increase of $25.0 million included $24.9 million of net patient service revenue from the June 2001 acquisition of a 200-bed hospital, the September 2001 acquisition of an 80-bed hospital and the December 2001 acquisition of an 88-bed hospital, and an increase of $0.1 million in miscellaneous other revenue. During the 2002 Period the Company's hospitals generated patient days of service and an occupancy rate of 223,702 and 45.5%, respectively, versus 209,431 and 44.7%, respectively, for the 2001 Period. Same hospital patient days and occupancy rates were 201,323 and 44.6%, respectively, for the 2002 Period, and 196,393 and 43.5%, respectively, for the 2001 Period. Same hospital admissions for the Company during the 2002 Period were 45,302, up 1.8% from the 44,486 admissions during the 2001 Period. The Company's operating expenses (salaries and benefits, supplies and other, provision for doubtful accounts and rent expense) for the 2002 Period were $387.0 million, or 78.1% of net patient service revenue as compared to $340.6 million or 78.4% of net patient service revenue for the 2001 Period. Of the total $46.4 million increase, approximately $22.1 million related to same hospitals, which was largely attributable to increased patient volumes. Another $22.6 million of increased operating expenses related to the hospital acquisitions mentioned previously. The remaining increase of $1.7 million represented the net increase in Corporate and other operating expenses offset by a decrease of $0.5 million of expenses resulting from the closure of one psychiatric facility in December 2000. The Company's depreciation and amortization costs increased by $0.2 million and interest expense decreased by $2.0 million. The increase in depreciation and amortization resulted primarily from the acquisitions previously mentioned which were offset by a decrease in amortization expense of $2.2 million related to the Company's adoption of SFAS No. 142. The decrease in interest expense was due to lower interest rates on the Company's Credit Agreement (as defined herein) and lower average balances outstanding on the Credit Agreement in the 2002 Period. The Company's income before income taxes was $83.1 million for the 2002 Period as compared to $66.1 million for the 2001 Period, an increase of $17.0 million or 25.7%. The increase resulted primarily from same hospital volume increases and the acquisitions mentioned previously. 9 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) Results of Operations Three months ended December 31, 2001 compared to three months ended December 31, 2000 (continued) The Company's provision for income taxes was $32.6 million for the 2002 Period, as compared to $25.9 million for the 2001 Period. These provisions reflect effective income tax rates of approximately 39.2% for both periods. As a result of the foregoing, the Company's net income was $50.5 million for the 2002 Period as compared to $40.2 million for the 2001 Period. Liquidity and Capital Resources 2002 Three Month Period Cash Flows compared to 2001 Three Month Period Cash Flows The Company's operating cash flows totaled $128.4 million for the 2002 Period as compared to $55.0 million for the 2001 Period. The continued positive cash flows from operating activities result from the Company's profitability and management of its working capital. The Company's investing activities used $167.1 million and $13.7 million for the 2002 Period and 2001 Period, respectively. Acquisition of hospitals accounted for the majority of the expenditures in the 2002 Period. Ongoing renovation and capital equipment costs accounted for the majority of the expenditures in the 2001 Period. Financing activities provided for $86.5 million for the 2002 Period and used $23.7 for the 2001 period. Increased borrowings to finance acquisitions, offset by purchases of treasury stock, accounted for the majority of the increase in the 2002 period. See the Condensed Consolidated Statements of Cash Flows for the three months ended December 31, 2001 and 2000 at page 5 of this Report. 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, and will increase or decrease in relation to a change in the Company's credit rating. Monthly or quarterly interest payments are required depending on the type of loan chosen by the Company. The interest rate on the outstanding balance at December 31, 2001 and December 31, 2000 was 2.9% and 7.6%, respectively. 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 in December. Currently, interest on any outstanding balance is 10 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) payable monthly at a fluctuating rate not to exceed the bank's prime rate less .25%. The interest rate at December 30, 2001 and 2000 was 4.75% and 9.5% respectively. As of December 31, 2001, there were no amounts outstanding under this credit commitment. In addition, the Company is obligated to pay certain commitment fees based upon amounts available for borrowing during the terms of the credit agreements described above. The credit agreements contain covenants which, without prior consent of the banks, limit certain activities, including those relating to mergers, consolidations and the Company's ability to secure additional indebtedness, make guarantees, grant security interests and declare dividends. The Company must also maintain minimum levels of consolidated tangible net worth, debt service coverage and interest coverage. At December 31, 2001, the Company was in compliance with these covenants. On August 16, 2000, the Company sold $488.8 million face value of Convertible Senior Subordinated Debentures due 2020 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 common stock at a conversion rate of 29.5623 shares of common stock for each $1,000 principal amount of the Debentures (equivalent to a conversion price of $19.9125 per share). Interest on the Debentures is payable semiannually in arrears on August 16 and February 16 of each year at a rate of .25% per year on the principal amount 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. Holders may require the Company to purchase all or a portion of their Debentures on August 16, 2003, August 16, 2008 and August 16, 2013 for a purchase price per Debenture of $635.88, $724.85 and $827.53, respectively, plus accrued and unpaid interest to each purchase date. The Company may choose to pay the purchase price in cash or common stock or a combination of cash and common stock. In addition, upon a change in control of the Company occurring on or before August 16, 2003, each holder may require the Company to repurchase all or a portion of such holder's Debentures. The Company may redeem all or a portion of the Debentures at any time on or after August 16, 2003. On January 28, 2002, the Company issued and sold $330.0 million face value of Zero-Coupon Convertible Senior Subordinated Notes due 2022 for gross proceeds of approximately $277.0 million. See footnote 6 to the Interim Condensed Consolidated Financial Statements. 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 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations (Continued) 11 Forward-Looking Statements (continued) -------------------------- 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. Item 3. Quantitative and Qualitative Disclosures about Market Risk - ---------------------------------------------------------- During the three months ended December 31, 2001, there were no material changes in the quantitative and qualitative disclosures about market risks presented in Item 7A in the Company's Annual Report on Form 10-K for the year ended September 30, 2001, other than the change as described below. During the three months ended December 31, 2001, the Company increased its borrowings under its variable rate revolving line of credit agreement by $170 million. 12 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. --------------------------------------------------- None. Item 5. Other Information ----------------- None Item 6. Exhibits and Reports on Form 8-K. -------------------------------- a. Exhibits: -------- See Index to Exhibits located on page 15 b. Reports on Form 8-K: ------------------- Form 8-K Reporting Date--January 24, 2002 Item Reported--Item 5. Other Events and Regulation FD Disclosure. The Company reported the offering of approximately $277 million (gross proceeds) of Zero-Coupon Convertible Senior Subordinated Notes due 2022 to qualified institutional buyers. Form 8-K Reporting Date--Fabruary 13, 2002 Item Reported--Item 5. Other Events and Regulation FD Disclosure. The Company reported the closing of the offering of approximately $277 million (gross proceeds) of Zero-Coupon Convertible Senior Subordinated Notes due 2022 to qualified institutional buyers. 13 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: February 13, 2002 BY: /s/ Robert E. Farnham ---------------------- Robert E. Farnham Senior Vice President and Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) 14 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 3.3 The By-laws, as amended, previously filed and included as Exhibit 3.3 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2000, is incorporated herein by reference. (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. 4.1 Specimen Stock Certificate, previously filed and included as Exhibit 4.11 to the Company's Annual Report on Form 10-K for the fiscal year ended September 30, 1992, is incorporated herein by reference. 4.5 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. 4.6 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 30, 2000, is incorporated herein by reference. 4.7 Indenture dated August 16, 2000 between Health Management Associates, Inc. and First Union National Bank, pertaining to the $488.7 million face value of Convertible Senior Subordinated Debentures due 2020, previously filed and included as Exhibit 4.1(1) to the Company's Form S-3 Registration Statement filed October 27, 2000, is incorporated herein by reference. (10) Material contracts. 10.1 Amendment No. 8 to the Health Management Associates, Inc. Stock Option Plan for Outside Directors. 15 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. 16