Exhibit 23.1


               CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS



We consent to the incorporation by reference in the Registration
Statements (Forms S-8 Nos. 33-43290, 33-65380 and 33-65382) of Health
Management Associates, Inc. of our report dated October 23, 1998, with
respect to the consolidated financial statements and schedule of Health
Management Associates, Inc. included in the Annual Report (Form 10-K)
for the year ended September 30, 1998.

                                                             ERNST & YOUNG LLP


Atlanta, Georgia
December 18, 1998

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