HEALTH MANAGEMENT ASSOCIATES INC
DEF 14A, 1996-12-30
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
 
 
                           SCHEDULE 14A INFORMATION

          Proxy Statement Pursuant to Section 14(a) of the Securities
                    Exchange Act of 1934 (Amendment No.  )
        
Filed by the Registrant [X]

Filed by a Party other than the Registrant [_] 

Check the appropriate box:

[_]  Preliminary Proxy Statement        [_]  Confidential, for Use of the 
                                             Commission Only (as permitted by
                                             Rule 14a-6(e)(2))
[X]  Definitive Proxy Statement 

[_]  Definitive Additional Materials 

[_]  Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12

                      HEALTH MANAGEMENT ASSOCIATES, INC.
- --------------------------------------------------------------------------------
               (Name of Registrant as Specified In Its Charter)


- --------------------------------------------------------------------------------
   (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

   
Payment of Filing Fee (Check the appropriate box):

[X]  No fee required.

[_]  Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

   
     (1) Title of each class of securities to which transaction applies:

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     (2) Aggregate number of securities to which transaction applies:

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     (3) Per unit price or other underlying value of transaction computed
         pursuant to Exchange Act Rule 0-11 (set forth the amount on which
         the filing fee is calculated and state how it was determined):

     -------------------------------------------------------------------------
      

     (4) Proposed maximum aggregate value of transaction:

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     (5) Total fee paid:

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[_]  Fee paid previously with preliminary materials.
     
[_]  Check box if any part of the fee is offset as provided by Exchange
     Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee
     was paid previously. Identify the previous filing by registration statement
     number, or the Form or Schedule and the date of its filing.
     
     (1) Amount Previously Paid:
 
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     (2) Form, Schedule or Registration Statement No.:

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     (3) Filing Party:
      
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     (4) Date Filed:

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Notes:

<PAGE>
 
                                     HMA
                                    [LOGO]
 
                      HEALTH MANAGEMENT ASSOCIATES, INC.
 
                               -----------------
 
                   NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
 
                               -----------------
 
                               FEBRUARY 18, 1997
 
  The Annual Meeting of Stockholders of HEALTH MANAGEMENT ASSOCIATES, INC.
(the "Company") will be held at the Philharmonic Center for the Arts, Daniels
Pavilion, 5833 Pelican Bay Blvd., Naples, Florida 34108 on Tuesday, February
18, 1997 at 1:30 p.m., local time, for the following purposes more fully
described in the accompanying proxy statement:
 
  1. To elect six directors of the Company.
 
  2. To consider and act upon a proposal to approve and adopt a Certificate
     of Amendment to the Fifth Restated Certificate of Incorporation of the
     Company to increase the number of authorized shares of Common Stock, par
     value $.01 per share, to an aggregate of 300,000,000 shares.
 
  3. To consider and act upon a proposal to approve and ratify the selection
     of Ernst & Young LLP as the Company's independent auditors for the
     fiscal year ending September 30, 1997.
 
  4. To transact such other business as may properly come before the Meeting
     or any adournment thereof.
 
  The Board of Directors has fixed the close of business on December 20, 1996
as the record date for the determination of stockholders entitled to notice of
and to vote at the Meeting and any adjournments thereof.
 
                                           BY ORDER OF THE BOARD OF DIRECTORS,
 
                                           Robb L. Smith,
                                           Secretary
 
Dated: December 30, 1996
<PAGE>
 
                      HEALTH MANAGEMENT ASSOCIATES, INC.
                          5811 PELICAN BAY BOULEVARD
                          NAPLES, FLORIDA 34108-2710
 
                               -----------------
 
                                PROXY STATEMENT
 
                               -----------------
 
                                    GENERAL
 
  This proxy statement is furnished to stockholders in connection with the
solicitation of proxies by the Board of Directors of Health Management
Associates, Inc. (the "Company") to be used at the Annual Meeting of
Stockholders of the Company, which will be held on Tuesday, February 18, 1997,
and at any adjournments thereof (the "Meeting"). This proxy statement and
accompanying form of proxy are being first mailed to stockholders on or about
December 30, 1996. The proxy, when properly executed and received by the
Secretary of the Company prior to the Meeting, will be voted as therein
specified unless revoked by filing with the Secretary prior to the Meeting a
written revocation or a duly executed proxy bearing a later date. Unless
authority to vote for one or more of the director nominees is specifically
withheld according to the instructions, a signed proxy will be voted FOR the
election of the six director nominees named herein and, unless otherwise
indicated, FOR each of the other two proposals described in this proxy
statement and in the accompanying notice of meeting.
   
  As of December 20, 1996, the record date for the Meeting, there were
106,470,185 shares of the Company's Class A Common Stock, par value $.01 per
share (the "Common Stock"), issued and outstanding. Only holders of Common
Stock of record on the books of the Company at the close of business on
December 20, 1996 are entitled to notice of and to vote at the Meeting and at
any adjournments thereof. Each such stockholder is entitled to one vote for
each share of Common Stock registered in his name. A majority of the
outstanding Common Stock, represented in person or by proxy at the Meeting,
will constitute a quorum for the transaction of all business.     
 
  The cost of soliciting proxies will be borne by the Company. In addition to
solicitation by use of the mails, directors, officers or regular employees of
the Company, without extra compensation, may solicit proxies personally or by
telephone or other telecommunication. In addition, the Company has retained
Corporate Investor Communications, a professional solicitation firm, which may
assist in soliciting proxies for a fee of $4,000 plus reimbursement of out-of-
pocket expenses. The Company has requested persons holding stock for others in
their names or in the names of nominees to forward soliciting material to the
beneficial owners of such shares and will, if requested, reimburse such
persons for their reasonable expenses in so doing.
<PAGE>
 
        SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
 
  The following table sets forth as of December 15, 1996 certain information
concerning shares of Common Stock held by (i) each stockholder known by the
Company to own beneficially more than 5% of the class, (ii) each director of
the Company, (iii) each "Named Executive" (see "EXECUTIVE COMPENSATION"), and
(iv) all directors and executive officers of the Company as a group:
 
<TABLE>       
<CAPTION>
                                                 COMMON STOCK
                                              BENEFICIALLY OWNED
                                              -------------------
               NAME AND ADDRESS OF              NO. OF   PERCENT
               BENEFICIAL OWNER (1)             SHARES   OF CLASS
               --------------------           ---------- --------
      <S>                                     <C>        <C>
      William J. Schoen (2)                    5,830,813    5.3%
       5811 Pelican Bay Blvd.
       Naples, FL 34108-2710
      Kent P. Dauten                             160,399    0.2
       707 Skokie Blvd.
       Suite 600
       Northbrook, IL 60062
      Robert A. Knox (3)                       3,293,477    3.1
       717 Fifth Avenue
       New York, NY 10022
      Charles R. Lees (4)                         58,780      -
       2659 Townsgate Road
       Suite 205
       Westlake Village, CA 91361
      Kenneth D. Lewis (5)                        58,780      -
       NationsBank Corporate Center
       100 North Tryon Street
       58th Floor
       Charlotte, NC 28255
      William E. Mayberry, M.D. (6)                5,625      -
       826 Rue de Ville
       Naples, FL 34108
      Earl P. Holland (7)                      1,084,314    1.0
       5811 Pelican Bay Blvd.
       Naples, FL 34108-2710
      Joseph V. Vumbacco (8)                     108,996    0.1
       5811 Pelican Bay Blvd.
       Naples, FL 34108-2710
      Stephen M. Ray (9)                         446,759    0.4
       5811 Pelican Bay Blvd.
       Naples, FL 34108-2710
      Joe D. Pinion                               88,218      -
       5811 Pelican Bay Blvd.
       Naples, FL 34108-2710
      Putnam Investments, Inc. (10)           11,909,851   11.2
       One Post Office Square
       Boston, MA 02109
      All Directors and Executive             11,649,115   10.5
       Officers as a Group (11 persons) (11)
</TABLE>    
 
                                       2
<PAGE>
 
 (1) Unless otherwise indicated, each stockholder shown on the table has sole
     voting and investment power with respect to the shares beneficially owned
     by him or it. Negligible percentages have been omitted from the table.
 (2) The amount shown includes: (a) 3,528,283 shares issuable upon exercise of
     currently exercisable options; (b) 5,062 shares held by Mr. Schoen, and
     2,000 shares held by his wife, each as custodian for their son (as to
     which shares Mr. Schoen disclaims beneficial ownership); (c) 160,702
     shares held by Mr. Schoen individually; (d) 1,134,766 shares held by Mr.
     Schoen as sole Trustee of the William J. Schoen Revocable Trust; and (e)
     1,000,000 shares held by Karen A. Sutton as Trustee of the William J.
     Schoen Charitable Unitrust.
 (3) Mr. Knox, a director of the Company, is Senior Managing Director of
     Cornerstone Equity Investors, LLC ("Cornerstone"). Mr. Knox and
     Cornerstone may constitute a group for purposes of the rules and
     regulations under the Securities Exchange Act of 1934, as amended;
     however, they disclaim any group membership. By investment management
     contract, Cornerstone has voting and investment power with respect to
     certain holdings of The Prudential Insurance Company of America and its
     affiliates. The amount shown includes 223,069 shares held by Mr. Knox
     individually, and 3,070,408 shares subject to such investment management
     contract.
 (4) The amount shown includes 47,530 shares issuable upon exercise of
     currently exercisable options.
 (5) The amount shown includes 38,530 shares issuable upon exercise of
     currently exercisable options.
 (6) The amount shown includes: (a) 3,375 shares issuable upon exercise of
     currently exercisable options; and (b) 2,250 shares held by Dr. Mayberry
     as Trustee of the W.E. Mayberry Trust.
 (7) The amount shown includes: (a) 315,450 shares issuable upon exercise of
     currently exercisable options; (b) an aggregate of 90,000 shares held by
     Mr. Holland in joint tenancy with members of his family; (c) 22,500
     shares held by Mr. Holland's wife as custodian for their daughter (as to
     which shares Mr. Holland disclaims beneficial ownership); (d) 605,739
     shares held by Mr. Holland individually; and (e) 50,625 shares held by
     Mr. Holland as sole Trustee of the Declaration of Trust Established for
     the Benefit of Earl P. Holland.
 (8) The amount shown includes: (a) 100,000 shares issuable upon exercise of
     currently exercisable options; (b) 6,936 shares held in Mr. Vumbacco's
     account under the Company's Retirement Savings Plan, as to which shares
     he has investment power only; and (c) 2,060 shares held by Mr. Vumbacco
     individually.
 (9) The amount shown includes: (a) 159,375 shares issuable upon exercise of
     currently exercisable options; (b) 17,384 shares held by Mr. Ray
     individually; and (c) 270,000 shares held by Mr. Ray as sole Trustee of
     the Stephen M. Ray Living Trust.
   
(10) The amount shown and the following information is derived from
     information provided by Putnam Investments, Inc. at November 30, 1996:
     the amount shown includes 11,018,682 shares held by Putnam Investment
     Management Inc. and 891,169 shares held by The Putnam Advisory Company,
     Inc. The Company has no information as to the voting and investment power
     with respect to any of such shares.     
(11) See footnotes (2) through (9) to this table.
 
                                       3
<PAGE>
 
                             ELECTION OF DIRECTORS
 
  A Board of Directors consisting of six directors is to be elected by the
stockholders at the Meeting, each to hold office until the next Annual Meeting
of Stockholders or until his successor is duly elected and qualifies.
 
  The Board of Directors recommends the election of the six nominees named
below, all of whom are currently directors of the Company. Unless authority to
vote for one or more of the nominees is specifically withheld according to the
instructions, proxies in the enclosed form will be voted FOR the election of
each of the six nominees named below. The Board of Directors does not
contemplate that any of the nominees will not be able to serve as a director,
but if that contingency should occur prior to the voting of the proxies, the
persons named in the enclosed proxy reserve the right to vote for such
substitute nominee or nominees as they, in their discretion, shall determine.
 
<TABLE>   
<CAPTION>
                                                                         YEAR
                                                                        FIRST
                                                                       ELECTED
                         NAME AND BACKGROUND                           DIRECTOR
                         -------------------                           --------
<S>                                                                    <C>
WILLIAM J. SCHOEN, age 61, has served as Chairman of the Board of Di-    1983
rectors, President and Chief Executive Officer of the Company since
April 1986. He was first elected a director in February 1983, became
President and Chief Operating Officer in December 1983, and Co-Chief
Executive Officer in December 1985. From 1982 to 1987 Mr. Schoen was
Chairman of Commerce National Bank, Naples, Florida, and from 1973 to
1981 he was President, Chief Operating Officer and Chief Executive
Officer of The F&M Schafer Corporation, a consumer products company.
From 1971 to 1973, Mr. Schoen was President of the Pierce Glass sub-
sidiary of Indian Head, Inc., a diversified company. In addition to
serving on the Company's Board of Directors, Mr. Schoen also serves
on the Boards of Directors of First Union National Bank of Florida
and Horace Mann Insurance Companies.
KENT P. DAUTEN, age 41, served as a director of the Company from         1981
March 1981 through May 1983, and from June 1985 through September
1988. He was again elected a director in November 1988. Since Febru-
ary 1994 Mr. Dauten has been President of Keystone Capital, Inc., a
private investment firm founded by him. From January 1993 until Feb-
ruary 1994, Mr. Dauten was a Senior Vice President of Madison Dear-
born Partners, Inc., an investment management company. Mr. Dauten was
formerly a Senior Vice President of First Chicago Investment Corpora-
tion and First Capital Corporation of Chicago, the venture capital
subsidiaries of First Chicago Corporation, where he had been employed
in various investment management positions since 1979.
ROBERT A. KNOX, age 44, became Senior Managing Director of Corner-       1985
stone Equity Investors, LLC, a private equity investment firm, in De-
cember 1996. From 1994 until December 1996, he was Chairman and Chief
Executive Officer, and from 1984 to 1994 he was President, of Pruden-
tial Equity Investors, Inc., a private equity investment firm. Mr.
Knox was employed by The Prudential Insurance Company of America
since 1975. He also serves on the Board of Directors of Lechters,
Inc.
CHARLES R. LEES, age 77, served as a director of the Company from        1988
April 1988 through September 1988, and was again elected a director
in February 1989. Mr. Lees has been in the private practice of law,
concentrating in tax matters, since May 1985. For more than 25 years
prior to his retirement in 1979, Mr. Lees was a Partner of the ac-
counting firm of KPMG Peat Marwick LLP, specializing in tax matters.
KENNETH D. LEWIS, age 49, is President of NationsBank Corporation, a     1991
position that he has held since November 1993. From December 1991 to
November 1993 he served as President of General Banking for
NationsBank. Prior to that, Mr. Lewis had been employed by NCNB Cor-
poration in various capacities since 1969, including President of
NCNB Texas from 1988 to 1990, and President of NCNB National Bank of
Florida from 1986 to 1988.
WILLIAM E. MAYBERRY, M.D., age 67, is the retired Chairman of the        1994
Board and Chief Executive Officer of the Mayo Foundation and the Mayo
Clinic, Rochester, Minnesota, where he had been employed in various
capacities from 1960 until his retirement in 1992.
</TABLE>    
 
 
                                       4
<PAGE>
 
 Board Meetings and Committees of the Board
 
  During the fiscal year ended September 30, 1996 ("Fiscal 1996"), the Board
of Directors held four meetings and also acted by unanimous written consent on
one occasion. Each director attended at least 75% of such Board meetings and
meetings of the Board Committees on which he served.
 
  The Company has standing Audit and Compensation Committees of the Board of
Directors. Although the Company has no standing Nominating Committee, the
Board of Directors will consider director nominees recommended by
stockholders. Such recommendations should be sent to the Company, to the
attention of the Secretary.
 
  The members of the Audit Committee are Messrs. Dauten (Chairman), Lees and
Dr. Mayberry. The Committee reviews with Ernst & Young LLP, the Company's
independent auditors, the Company's financial statements and internal
accounting procedures, Ernst & Young LLP's auditing procedures and fees, and
the possible effects of professional services upon the independence of Ernst &
Young LLP. The Audit Committee held three meetings during Fiscal 1996.
 
  The members of the Compensation Committee are Messrs. Knox (Chairman),
Dauten and Lewis. The Committee makes recommendations to the Board with
respect to compensation and benefits paid to the Company's senior management.
The Compensation Committee also makes determinations under the Company's
various plans providing incentive compensation for management. See "EXECUTIVE
COMPENSATION." The Compensation Committee held five meetings during Fiscal
1996.
 
 Compensation of Directors
 
  The Company pays its non-employee directors $2,000 per quarter for their
services as directors and $2,000 for each Board meeting attended. All of the
Company's directors other than Mr. Schoen qualify for such payments, and
during Fiscal 1996 such fees paid aggregated $80,000. The Company also
reimburses all of its directors for reasonable expenses incurred in connection
with attending Board and Board committee meetings. Except as described under
"Directors' Stock Options" below, the Company had no other compensation
arrangements with directors during Fiscal 1996.
 
 Directors' Stock Options
 
  Pursuant to the Company's Stock Option Plan for Outside Directors, during
Fiscal 1996 the Company granted to each of Messrs. Dauten, Lees, Lewis and Dr.
Mayberry (the "Optionees"), each a non-employee director of the Company, an
option, expiring on April 25, 2006, to purchase 3,375 shares of Common Stock
(as adjusted to give effect to a 3-for-2 stock split in the form of a stock
dividend paid on June 14, 1996) at an exercise price of $21.58 per share (as
so adjusted). Each option becomes exercisable in 1,125-share annual increments
commencing one year from the date of the grant. None of such options are
transferable except by will or intestacy, and during the Optionee's lifetime
they are exercisable only by him. Unexercised options lapse 90 days after the
Optionee ceases to be a director of the Company, except that if the Optionee
ceases to be a director by reason of his death, his option lapses six months
after the date of his death.
   
 Section 16(a) Beneficial Ownership Reporting Compliance     
 
  During Fiscal 1996, the W.E. Mayberry Trust, of which William E. Mayberry,
M.D., a director of the Company, is trustee, inadvertently failed to file with
the Securities and Exchange Commission (the "SEC") on a timely basis one
report disclosing one acquisition by such Trust of Common Stock by gift from
Dr. Mayberry. Such report has since been filed. All of the Company's directors
and executive officers are now current in such filings. In making the
foregoing statements, the Company has relied on the written representations of
its directors and executive officers and copies of the reports that they have
filed with the SEC.
 
                                       5
<PAGE>
 
                            EXECUTIVE COMPENSATION
 
  Shown on the table below is information on the annual and long-term
compensation for services rendered to the Company in all capacities, for the
fiscal years ended September 30, 1996, 1995 and 1994, paid by the Company to
those persons who were, at the end of Fiscal 1996, the Chief Executive Officer
of the Company and the four most highly compensated executive officers of the
Company other than the Chief Executive Officer (collectively, the "Named
Executives").
 
                          SUMMARY COMPENSATION TABLE
 
<TABLE>   
<CAPTION>
                                     ANNUAL COMPENSATION      LONG-TERM COMPENSATION
                                  ------------------------- --------------------------
                                                                  AWARDS       PAYOUTS
                                                     OTHER  ------------------ -------
                                                    ANNUAL  RESTRICTED                 ALL OTHER
                                                    COMPEN-   STOCK             LTIP    COMPEN-
                                   SALARY   BONUS   SATION    AWARDS   OPTIONS PAYOUTS  SATION
NAME AND PRINCIPAL POSITION  YEAR ($) (1)  ($) (2)  ($) (3)  ($) (4)   (#) (5)   ($)      ($)
- ---------------------------  ---- -------- -------- ------- ---------- ------- ------- ---------
<S>                          <C>  <C>      <C>      <C>     <C>        <C>     <C>     <C>
WILLIAM J. SCHOEN            1996 $493,750 $493,750 $3,166   $493,750  300,000     0        0
Chairman of the Board,       1995  468,875  468,875  3,080    468,875  900,000     0        0
President and Chief          1994  444,125  444,125  3,080    444,125        0     0        0
Executive Officer
EARL P. HOLLAND              1996 $239,500 $179,625 $3,166   $179,625  150,000     0        0
Executive Vice President     1995  229,125  171,844  3,216    171,844  450,000     0        0
                             1994  217,375  163,031  3,168    163,031        0     0        0
JOSEPH V. VUMBACCO (6)       1996 $159,375 $119,531      0   $119,531  300,000     0        0
Executive Vice President
STEPHEN M. RAY               1996 $155,625 $ 93,375 $3,112   $ 93,375   75,000     0        0
Senior Vice President        1995  150,000   75,000  2,945     75,000  225,000     0        0
 and
Chief Financial Officer      1994  115,250   57,625  2,428     57,625        0     0        0
JOE D. PINION (7)            1996 $155,750 $ 70,088 $1,154   $ 70,088   75,000     0        0
Senior Vice President
</TABLE>    
- --------
(1) The amounts shown include cash compensation earned and paid during the
    fiscal year indicated as well as cash compensation deferred at the
    election of the Named Executive.
(2) The bonuses shown were awarded and paid in the succeeding fiscal year for
    services rendered during the fiscal year indicated.
(3) The amounts shown include employer contributions to the Company's
    Retirement Savings Plan. The amounts shown do not include the value of
    perquisites and other personal benefits because the aggregate amount of
    such compensation for each fiscal year shown did not exceed the lesser of
    $50,000 or 10% of the total amount of annual salary and bonus shown for
    the Named Executive.
(4) The amounts shown reflect contingent awards of Common Stock pursuant to
    the Company's 1996 Executive Incentive Compensation Plan (the "EICP") and
    Stock Incentive Plan for Corporate Officers and Management Staff (the
    "Stock Incentive Plan"). See "EXECUTIVE COMPENSATION--Report of
    Compensation Committee With Respect to Executive Compensation." The awards
    shown were made in the succeeding fiscal year for services rendered during
    the fiscal year indicated, and the dollar values shown represent the
    aggregate market value of the shares awarded on the respective dates of
    the awards. Without giving effect to awards made after the close of Fiscal
    1996, the aggregate numbers and dollar values of such shares credited to
    the respective individuals' contingent award accounts at Fiscal 1996 year-
    end, based on the market value of the Common Stock at Fiscal 1996 year-end
    ($24.875 per share), were: Mr. Schoen--204,448 shares ($5,085,644); Mr.
    Holland--69,119 shares ($1,719,335); Mr. Ray-- 26,804 shares ($666,750);
    and Mr. Pinion--14,461 shares ($359,717). Dividends are not payable on
    such shares, but customary anti-dilution adjustments apply in the event of
    stock splits and stock dividends.
 
                                       6
<PAGE>
 
(5) The amounts shown have been adjusted to give effect to two 3-for-2 stock
    splits in the form of stock dividends paid on October 20, 1995 and June
    14, 1996.
(6) Mr. Vumbacco was first employed by the Company on January 15, 1996.
    Accordingly, the amounts shown for Fiscal 1996 reflect less than a full
    year's service.
(7) Mr. Pinion first became an executive officer on January 1, 1996, but the
    amounts shown for Fiscal 1996 reflect his compensation for the full fiscal
    year.
 
STOCK OPTIONS
 
  Shown below is further information on grants of stock options during Fiscal
1996 to the Named Executives under the EICP and the Company's 1993 Non-
Statutory Stock Option Plan. No stock appreciation rights ("SARs") were
granted in Fiscal 1996 and there are no SARs outstanding.
 
                         OPTION GRANTS IN FISCAL 1996*
 
<TABLE>
<CAPTION>
                                                                      GRANT DATE
                          INDIVIDUAL GRANTS                             VALUE
- --------------------------------------------------------------------- ----------
                                       PERCENT OF
                                         TOTAL
                                        OPTIONS
                                       GRANTED TO                     GRANT DATE
                               OPTIONS EMPLOYEES  EXERCISE             PRESENT
                               GRANTED IN FISCAL   PRICE   EXPIRATION  VALUE $
NAME                             (#)      YEAR     ($/SH)     DATE       (1)
- ----                           ------- ---------- -------- ---------- ----------
<S>                            <C>     <C>        <C>      <C>        <C>
William J. Schoen............. 300,000    24.0%    $23.25   05/20/06  $3,165,000
Earl P. Holland............... 150,000    12.0      23.25   05/20/06   1,582,500
Joseph V. Vumbacco............ 300,000    24.0      18.75   01/14/06   2,394,000
Stephen M. Ray................  75,000     6.0      23.25   05/20/06     791,250
Joe D. Pinion.................  75,000     6.0      23.25   05/20/06     791,250
</TABLE>
- --------
*  Pursuant to anti-dilution provisions of the respective plans, all numbers
   of shares and per share prices have been adjusted to give effect to a 3-
   for-2 stock split in the form of a stock dividend paid on June 14, 1996.
   
(1) The hypothetical grant date present values for options granted during
    Fiscal 1996 are presented pursuant to the rules of the SEC and are
    calculated under the modified Black-Scholes Model for pricing options, a
    mathematical formula used to value options traded on stock exchanges. This
    formula considers a number of factors in forecasting an option's present
    value. Factors used to value options granted on May 21, 1996 include the
    expected volatility rate of the shares underlying the option (33.73%), the
    risk free rate of return (6.78%), dividend yield (0%), projected time of
    exercise (7 years) and projected risk of forfeiture rate for vesting
    period (5% per annum). Factors used to value options granted on January
    15, 1996 include the expected volatility rate of the shares underlying the
    option (33.60%), the risk free rate of return (5.46%), dividend yield
    (0%), projected time of exercise (7 years) and projected risk of
    forfeiture rate for vesting period (5% per annum). The actual before-tax
    amount, if any, realized upon the exercise of stock options will depend
    upon the excess, if any, of the market price of the Common Stock over the
    exercise price per share of Common Stock at the time the option is
    exercised. There is no assurance that the hypothetical grant date present
    values of the options reflected in this table will be realized.     
 
  Shown below is information with respect to option exercises by the Named
Executives during Fiscal 1996 and unexercised options to purchase Common
Stock, granted to the Named Executives during and prior to Fiscal 1996 under
the EICP and the Company's prior stock option plans and held by them at the
end of Fiscal 1996.
 
                                       7
<PAGE>
 
                AGGREGATED OPTION EXERCISES IN FISCAL 1996 AND
                        FISCAL YEAR-END OPTION VALUES*
 
<TABLE>
<CAPTION>
                                                    NUMBER OF UNEXERCISED     VALUE OF UNEXERCISED
                                                       OPTIONS HELD AT        IN-THE-MONEY OPTIONS
                                                       FISCAL YEAR-END         AT FISCAL YEAR-END
                           SHARES        VALUE               (#)                     ($) (1)
                         ACQUIRED ON   REALIZED   ------------------------- -------------------------
          NAME           EXERCISE (#)     ($)     EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE
          ----           -----------  ----------- ----------- ------------- ----------- -------------
<S>                      <C>          <C>         <C>         <C>           <C>         <C>
William J. Schoen.......   750,000    $11,701,532  4,028,288     900,000    $75,124,927  $8,445,833
Earl P. Holland.........   320,625      3,413,555    318,750     450,000      5,345,573   4,222,917
Joseph V. Vumbacco......         0              0          0     300,000              0   1,837,500
Stephen M. Ray..........   177,187      1,939,353    159,375     225,000      2,672,786   2,111,458
Joe D. Pinion...........   159,908      1,593,375     84,375      75,000      1,677,995     121,875
</TABLE>
- --------
*  Pursuant to anti-dilution provisions of the respective plans, all numbers
   of shares and per share prices have been adjusted to give effect, as
   applicable, to five 3-for-2 stock splits in the form of stock dividends
   paid on April 9, 1992, November 3, 1993, June 17, 1994, October 20, 1995
   and June 14, 1996.
(1)  Expressed as the excess of the market value of the Common Stock at Fiscal
     1996 year-end ($24.875 per share) over the exercise price of each option.
 
EMPLOYMENT AGREEMENTS
 
  The Company has an Amended and Restated Employment Agreement with William J.
Schoen, dated December 15, 1992, providing for him to serve as the Company's
Chairman of the Board, President and Chief Executive Officer at an annual base
salary of $400,000, subject to cost of living increases by the Board of
Directors. Mr. Schoen is also guaranteed participation in the Company's
Incentive Compensation Plan for Corporate Officers and Management Staff (the
"Incentive Compensation Plan") (see "EXECUTIVE COMPENSATION--Report of
Compensation Committee With Respect to Executive Compensation") at the 100%
category, and certain fringe benefits. Mr. Schoen's employment is terminable
upon his death, disability, voluntary termination or for defined cause. Should
the Company otherwise terminate Mr. Schoen's employment or reduce his
responsibilities or authority, or should there be a defined change in control
of the Company, then Mr. Schoen will be entitled to a lump sum payment equal
to the gross income paid him by the Company for the preceding three years. Mr.
Schoen has agreed not to compete with the Company or its affiliates during the
term of this agreement.
 
  The Company does not have employment agreements with any of its other
executive officers.
 
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN
 
  The Company's Supplemental Executive Retirement Plan (the "Supplemental
Plan") is a deferred compensation plan for key executive employees that is not
intended to be tax-qualified. It commenced on May 1, 1990 for the Company's
executive officers. Each participant in the Supplemental Plan is entitled to
receive a fixed monthly benefit, commencing on his normal retirement date, for
the longer of 120 months or his life. The monthly benefit, which is determined
by the Board of Directors, may vary for each participant and may be increased
periodically by the Board. During Fiscal 1996, the Company recorded $240,000
of deferred compensation expense in respect of the Supplemental Plan. To
qualify for benefits, a participant must continue as an employee until age 62
and must be an employee for at least five years after commencing
participation. No benefit is paid if employment is terminated earlier,
regardless of the reason, except if a participant's employment is terminated
by the Company for reasons other than "cause," or by the participant for a
"stated good reason," within two years after a "change of ownership" of the
Company (as those terms are defined in the Supplemental Plan). In that case,
the actuarial equivalent of a participant's retirement benefit
 
                                       8
<PAGE>
 
is paid in a single sum as soon as practicable after termination of
employment. In addition, if such a change of ownership occurs after a
participant has already begun to receive benefit payments, the actuarial
equivalent of the remaining benefits payable will be paid in a single sum. The
Supplemental Plan also provides that in the event a participant dies after
qualifying for retirement benefits but before all retirement benefits are
paid, the remaining benefits payable will be paid to the participant's
designated beneficiary or legal representative. Life insurance contracts may
be purchased by the Company to provide some or all of the benefits under the
Supplemental Plan.
 
REPORT OF COMPENSATION COMMITTEE WITH RESPECT TO EXECUTIVE COMPENSATION
 
  The following report of the Compensation Committee required by the rules of
the SEC to be included in this Proxy Statement shall not be deemed
incorporated by reference by any statement incorporating this Proxy Statement
by reference into any filing under the Securities Act of 1933, as amended (the
"Securities Act"), or the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), except to the extent that the Company specifically
incorporates this information by reference, and shall not otherwise be deemed
filed under either such Act.
 
 Executive Compensation Philosophy:
 
  The fundamental compensation philosophy of the Board of Directors is that
there should be a substantial and meaningful connection between executive
compensation and stockholder value. Under the supervision of the Compensation
Committee of the Board of Directors (the "Committee"), which is comprised of
outside directors and which also administers the EICP, the Stock Incentive
Plan and the Company's prior stock option plans, the Company has developed and
implemented compensation policies, plans and programs designed to enhance the
profitability of the Company and increase stockholder value by aligning
closely the financial interests of the Company's executive officers with those
of its stockholders. In furtherance of these goals, annual base salaries are
intended to serve as only a portion of an executive's total achievable
compensation. The Board of Directors believes that attracting and retaining
executives of high quality is essential to the Company's growth and success.
The Board of Directors further believes that the long term success of the
Company is enhanced by a comprehensive compensation program that includes
different types of incentives for motivating executives and rewarding
outstanding service, including awards that link compensation to applicable
measures of Company performance. The Company relies to a large degree on
annual and long-term incentive compensation to attract and retain executives
of outstanding ability and to motivate them to perform to the full extent of
their abilities. Both the annual and long-term components of the incentive
compensation policy are closely tied to profitability and stockholder value.
In years of outstanding profitability, executive officers will be
substantially rewarded for their respective contributions to the Company's
success through a combination of cash and stock-based incentive awards.
 
 The EICP:
 
  The EICP, which was approved by the stockholders in 1996, is a comprehensive
executive compensation plan which provides for grants of performance or annual
incentive awards that may be settled in cash, stock or other property, as well
as stock options, SARs, restricted stock, deferred stock and other stock-
related awards (collectively, "Awards"). The EICP supersedes the Incentive
Compensation Plan, the Stock Incentive Plan and the Company's prior stock
option plans (collectively, the "Prior Plans"), although previously granted
awards under the Prior Plans remain outstanding in accordance with their
respective terms and the terms of the Prior Plans. Although the types of
Awards authorized under the EICP are generally similar to those under the
Prior Plans, the Board determined to recommend to the stockholders adoption of
the entirely new EICP in order to respond to a number of changes and proposed
changes under the Exchange Act and Internal Revenue Code, to broaden the types
of performance goals that may be set by the Committee and
 
                                       9
<PAGE>
 
   
otherwise to add flexibility to annual incentive awards and other performance-
based awards intended to qualify for certain corporate tax deductions, to
increase the number of shares of Common Stock that may be subject to Awards,
and otherwise to adopt provisions intended to enable the Committee to better
promote the goals and policies of the Company's annual and stock-based long-
term incentive programs.     
 
  Under the EICP, the total of 7,500,000 shares of Common Stock are reserved
and available for delivery to participants in connection with Awards, plus any
shares of Common Stock remaining available under the Prior Plans and other
shares of Common Stock that may later become available under the Prior Plans,
plus 7% of the number of shares of Common Stock issued by the Company during
the term of the EICP (other than issuances under any compensation or benefit
plan of the Company).
 
  The determination of the types of Awards to be granted at any time, the
criteria for such grants, the recipients of Awards and the various conditions
thereof, are all in the discretion of the Committee.
 
 Executive Officer Compensation:
 
  The Company's Fiscal 1996 and current total compensation program for
executive officers consists of both cash and stock-based compensation. The
annual cash compensation consists of a base salary determined at the beginning
of each calendar year and the awarding of incentive bonuses pursuant to the
EICP, as described below. The base salaries are fixed at levels that the
Committee believes to be generally below amounts paid to highly qualified
senior executives at other large companies engaged in the same or similar
business as the Company. Salaries are reviewed on an annual basis and may be
increased at that time based on (i) the Committee's consensus that the
individual's contribution to the Company has increased and (ii) increases in
competitive pay levels.
 
  In general, annual cash compensation incentives for executives are intended
to reflect the Company's belief that management's contribution to stockholder
return comes from maximizing earnings. Under the current incentive
compensation program under the EICP (which parallels the prior Incentive
Compensation Plan), a bonus (calculated as a percentage of base salary) is
paid to participants for each year in which the Company achieves, in audited
fiscal year-end results, at least 75% of its profit plan. Each participant in
this incentive compensation program is in one of six bonus categories (30%,
40%, 50%, 60%, 75% or 100% of base salary), and his proportionate share of the
annual bonus depends upon the profit percentage achieved by the Company.
Participants in this incentive compensation program are selected and assigned
to bonus categories by the Committee, and all of the Company's executive
officers are participants.
 
  Long-term incentives are currently intended to be provided through the grant
of stock options and contingent stock awards. Under the EICP, the Committee
has the authority to determine the individuals to whom stock options are
granted, the terms on which option grants are made, and the term of and the
number of shares subject to each option. Through the grant of stock options,
the objective of aligning executive officers' long-range interests with those
of the stockholders are met by providing the executive officers with the
opportunity to build a meaningful stake in the Company. In granting stock
options to the Company's senior management, the Committee reviews and
considers the individual awards, taking into account the respective scope of
accountability, strategic and operational goals, and anticipated performance
requirements and contributions of each option grantee.
 
  Under the current stock incentive program under the EICP (which parallels
the prior Stock Incentive Plan), the Committee has the authority to award
shares of Common Stock to all executive officers and senior managers of the
Company. In making such awards, the Committee considers all of the factors
discussed, and follows the procedure described, in the previous paragraph.
 
 
                                      10
<PAGE>
 
  Stock awards under the prior Stock Incentive Plan and the stock incentive
program under the EICP are generally contingent upon completion of four
additional years of employment with the Company. The market value as of the
award grant date of the shares credited to an executive's contingent award
account for any fiscal year may not exceed 100% of the executive's bonus for
the same year under the incentive compensation program discussed above. No
shares are issued or reserved for the executive's account at the time of an
award, but are instead issued after the fourth anniversary of the award grant
date, provided the executive is still an employee of the Company.
 
  Executive officers may also participate in the Company's Retirement Savings
Plan, a 401(k) plan, which includes both employer and employee contributions.
In addition, the Company has an unfunded deferred compensation program that
provides payments to key executive employees selected by the Board of
Directors who reach normal retirement age. The amount of the benefit provided
each executive is at the discretion of the Board. See "EXECUTIVE
COMPENSATION--Supplemental Executive Retirement Plan."
 
 Chief Executive Officer Compensation:
 
  The key performance measure used to determine Mr. Schoen's Fiscal 1996
compensation package was the Committee's assessment of his ability and
dedication to provide the leadership and vision necessary to enhance the long-
term value of the Company.
 
  Pursuant to the terms of his employment agreement with the Company (see
"EXECUTIVE COMPENSATION--Employment Agreements"), which was approved by the
Board of Directors, Mr. Schoen's annual salary is $400,000, subject to cost of
living increases by the Board of Directors. The Committee believes that Mr.
Schoen's salary is fixed at a level which is below the amounts paid to other
chief executive officers with comparable qualifications, experience,
responsibilities and proven results at other large companies engaged in the
same or similar business.
 
  Consistent with the Company's executive compensation philosophy, Mr.
Schoen's total compensation package depends largely on annual and long-term
incentive compensation. The annual incentive component is currently made up of
a cash bonus under the incentive compensation program under the EICP, paid
after the end of the fiscal year and based on the profitability of the
Company. The long-term incentive component currently takes the form of stock
options and contingent stock awards under the EICP. Mr. Schoen will also be
eligible to receive other Awards under the EICP. Both the annual and long-term
components of Mr. Schoen's incentive compensation are variable and closely
tied to corporate performance in a manner which encourages dedication to
building profitability and stockholder value.
 
  In evaluating the performance and setting the incentive compensation of Mr.
Schoen as the Company's Chief Executive Officer, the Committee has taken
particular note of the substantial increase in the Company's stockholder value
over a number of years in general and specifically from Fiscal 1995 to Fiscal
1996.
 
  The Company substantially out-performed both the Standard & Poor's 500 Stock
Index and the S&P Health Care Sector Index in stockholder value growth (see
"EXECUTIVE COMPENSATION--Stock Price Performance Graph"). Among the key
indicators of the Company's performance in Fiscal 1996, net patient service
revenue increased 34% from $531,094,000 in Fiscal 1995 to $714,317,000 in
Fiscal 1996, and net income increased 33% from $63,331,000 in Fiscal 1995 to
$84,086,000 in Fiscal 1996. Earnings per share increased 29% from $.59 in
Fiscal 1995 to $.76 in Fiscal 1996. During Fiscal 1996 the Company's stock
price increased 74%. In addition, the Company has paid five 3-for-2 stock
splits in the form of stock dividends since April 1992, including the stock
dividend paid on June 14, 1996.
 
 
                                      11
<PAGE>
 
  In addition to leading the Company to outstanding financial achievements,
Mr. Schoen has established a strong record in the areas of innovation, quality
and management efficiency, and has built a strong management team and
aggressively pursued new areas for growth. For example, he developed the
Company's industry niche and its successful acquisition strategy.
 
  Mr. Schoen's short-term and long-term incentive compensation package for
Fiscal 1996 includes a cash bonus in an amount equal to 100% of his annual
salary, a contingent stock award in an amount equal to his cash bonus, and the
grant of options to purchase 300,000 shares of Common Stock. Mr. Schoen's
compensation package has successfully focused on the importance of increasing
profitability and stockholder value by providing him with significant short-
term and long-term incentive compensation during periods when performance
objectives have been met or exceeded.
 
                                           COMPENSATION COMMITTEE:
 
                                           Robert A. Knox, Chairman
                                           Kent P. Dauten
                                           Kenneth D. Lewis
 
 
                                      12
<PAGE>
 
STOCK PRICE PERFORMANCE GRAPH
 
  The following graph sets forth a comparison of the cumulative total
stockholder return on the Common Stock during the five-year period ended
September 30, 1996, based on the market price thereof and taking into account
all stock splits in the form of stock dividends paid through Fiscal 1996, with
the cumulative total return of companies on the Standard & Poor's 500 Stock
Index and companies on the S&P Health Care Sector Index (formerly called the
S&P Health Care Composite Index).
 
                     COMPARISON OF CUMULATIVE TOTAL RETURN

                         [GRAPH APPEARS HERE]
 
<TABLE>
                   COMPARISON OF FIVE YEAR CUMULATIVE RETURN
             AMONG HMA, S&P 500 INDEX AND HEALTH CARE SECTOR INDEX

<CAPTION>
Measurement period         HMA           S&P 500    Health Care Sector 
(Fiscal year Covered)                     Index           Index
- ---------------------   ---------       ---------       ---------
<S>                     <C>             <C>             <C>
Measurement PT - 
9/30/91                 $100            $100            $100

FYE 9/30/92             $108.87         $111.05         $ 95.85
FYE 9/30/93             $191.74         $125.49         $ 82.58
FYE 9/30/94             $268.10         $130.11         $ 99.79
FYE 9/30/95             $349.78         $168.82         $143.09
FYE 9/30/96             $612.44         $203.14         $187.41
</TABLE>  

 
  ASSUMES $100 INVESTED ON SEPTEMBER 30, 1991 IN THE COMPANY'S COMMON STOCK,
  THE COMPANIES COMPRISING THE STANDARD & POOR'S 500 STOCK INDEX AND THE
  COMPANIES CURRENTLY COMPRISING THE S&P HEALTH CARE SECTOR INDEX. TOTAL
  RETURN ASSUMES REINVESTMENT OF DIVIDENDS.
 
  There can be no assurance that the Company's stock performance will continue
into the future with the same or similar trends depicted in the graph above.
The Company will neither make nor endorse any predictions as to future stock
performance.
 
  The Stock Price Performance Graph above shall not be deemed incorporated by
reference by any general statement incorporating by reference this proxy
statement into any filing under the Securities Act or the Exchange Act, except
to the extent that the Company specifically incorporates this information by
reference, and shall not otherwise be deemed filed under either such Act.
 
                                      13
<PAGE>
 
                             CERTAIN TRANSACTIONS
 
  Pursuant to a Registration Agreement dated as of September 2, 1988,
Prudential Equity Investors, Inc. (with which Robert A. Knox, a director of
the Company, was formerly affiliated), Mr. Knox, and certain of the Company's
executive officers (William J. Schoen, Earl P. Holland, Robb L. Smith and
Stephen M. Ray), and two former executive officers (Kelly E. Curry and T.
Jefferson Jones) have certain demand registration rights and "piggyback"
registration rights, at the Company's expense, with respect to registration
under the Securities Act of all of their shares of Common Stock.
 
                   AMENDMENT OF CERTIFICATE OF INCORPORATION
                      TO INCREASE AUTHORIZED COMMON STOCK
 
  The Company's Fifth Restated Certificate of Incorporation currently
authorizes the issuance of an aggregate of 150,000,000 shares of Common Stock,
par value $.01 per share, and 5,000,000 shares of Preferred Stock, par value
$.01 per share. On December 10, 1996 the Board of Directors approved and
adopted, subject to approval and adoption by the stockholders, a Certificate
of Amendment to the Fifth Restated Certificate of Incorporation (the
"Amendment"), which increases the number of authorized shares of Common Stock
to an aggregate of 300,000,000 shares. The authorized Preferred Stock would
not be changed by the Amendment, nor would any other change to the Fifth
Restated Certificate of Incorporation result from the Amendment.
 
  If approved and adopted by the stockholders at the Meeting, the Amendment
will become effective upon the filing thereof by the Delaware Department of
State. A filing is anticipated to occur within 30 days following the Meeting.
 
  The Board of Directors has considered in the past and will continue to
consider various means of broadening the ownership of the Common Stock and
enhancing its marketability, including the payment of stock dividends and
stock splits. The Company has paid five 3-for-2 stock splits in the form of
stock dividends since April 1992, including the stock dividend paid on June
14, 1996. The Board has also considered and will continue to consider the
possibility of acquiring hospital facilities through the issuance of Common
Stock, and the advisability of increasing stock ownership and meeting part of
the Company's future capital requirements through additional public offerings
of Common Stock. Any such future action is, of course, subject to the
Company's earnings and financial condition as well as market conditions and
other factors that the Board deems relevant. Finally, the Board believes that
stock-based executive compensation provides incentives to management that are
in the best interests of the stockholders and the Board desires to continue
such compensation, through the EICP or otherwise.
 
  The Company currently has outstanding approximately 106,500,000 shares of
Common Stock and no shares of Preferred Stock. In addition, approximately
15,500,000 shares of Common Stock are currently reserved for issuance as stock
incentives under the EICP and under outstanding options and stock awards under
the Prior Plans. Accordingly, no more than approximately 28,000,000 shares of
Common Stock are currently available for issuance for other purposes. By way
of example, if the Board of Directors were to determine at any time in the
future that the payment of another 3-for-2 stock split in the form of a stock
dividend were in the best interests of the Company's stockholders, the Company
would not have sufficient authorized but unissued shares with which to pay
such a dividend.
 
  Aside from the Board's ongoing consideration of a stock dividend or stock
split, management's ongoing evaluation of acquisition possibilities and the
Board's belief in the efficacy of stock-based executive compensation, the
Board has no present plans, agreements or understandings, pending or under
discussion for
 
                                      14
<PAGE>
 
the issuance of any shares of Common Stock except for the shares reserved for
issuance as stock incentives described above. However, the Board of Directors
considers that in the prudent operation of the Company, it is desirable to
have sufficient authorized but unissued shares of Common Stock available to
allow the Company to take prompt advantage of market or other conditions in
connection with possible financings or acquisitions, for stock dividends or
distributions, for grants of options and other stock rights, and for other
proper corporate purposes deemed necessary or advisable by the Board of
Directors. The Board of Directors also believes that the availability of
additional shares of Common Stock for such purposes without delay or the
necessity for a special meeting of stockholders (except as may be required by
applicable law or regulatory authorities or by the rules of any stock exchange
on which the Company's stock is listed) will be beneficial to the Company by
providing it with the flexibility required to consider and respond to future
business opportunities and needs as they arise.
 
  The Amendment, if approved and adopted by the stockholders, would result in
over approximately 178,000,000 shares of Common Stock authorized but
uncommitted and available for future use by action of the Board of Directors.
None of these shares would be subject to any preemptive rights. While the
Board does not believe that the increased capitalization would adversely
affect the rights of existing stockholders, the future issuance of shares of
Common Stock might serve to dilute the interest of existing stockholders and
may be issued at a time and under circumstances that may increase or decrease
the earnings per share, and increase or decrease the book value per share, of
shares currently outstanding.
 
BOARD RECOMMENDATION
 
  Delaware law requires that the Amendment be approved and adopted by the
affirmative vote of at least a majority of the outstanding shares of Common
Stock.
 
  The Board of Directors recommends a vote in favor of the proposal to approve
and adopt a Certificate of Amendment to the Fifth Restated Certificate of
Incorporation to increase the number of authorized shares of Common Stock to
an aggregate of 300,000,000 shares. The persons named in the enclosed proxy
(unless otherwise instructed therein) will vote such proxies FOR this
proposal.
 
                       SELECTION OF INDEPENDENT AUDITORS
 
  The firm of Ernst & Young LLP, Certified Public Accountants, served as the
independent auditors of the Company for Fiscal 1996, and the Board of
Directors has selected Ernst & Young LLP as the Company's independent auditors
for the fiscal year ending September 30, 1997. This selection will be
presented to the stockholders for their approval at the Meeting. The Board of
Directors recommends a vote in favor of the proposal to approve and ratify
this selection, and the persons named in the enclosed proxy (unless otherwise
instructed therein) will vote such proxies FOR such proposal. If the
stockholders do not approve this selection, the Board of Directors will
reconsider its choice.
 
  The Company has been advised by Ernst & Young LLP that a representative will
be present at the Meeting and will be available to respond to appropriate
questions. In addition, the Company intends to give such representative an
opportunity to make any statements if he should so desire.
 
                 STOCKHOLDER PROPOSALS FOR 1998 ANNUAL MEETING
 
  In order for any stockholder proposal to be included in the Company's proxy
statement to be issued in connection with the 1998 Annual Meeting of
Stockholders, such proposal must be received by the Company no later than
September 1, 1997.
 
                                      15
<PAGE>
 
                                 OTHER MATTERS
 
  The Board of Directors does not know of any other matters that are to be
presented for action at the Meeting. Should any other matter come before the
Meeting, however, the persons named in the enclosed proxy will have
discretionary authority to vote all proxies with respect to such matter in
accordance with their judgment.
 
                                         BY ORDER OF THE BOARD OF DIRECTORS,
 
                                         Robb L. Smith,
                                         Secretary
 
Dated: December 30, 1996
 
                                      16
<PAGE>
 
 
 
PROXY                  HEALTH MANAGEMENT ASSOCIATES, INC.
 
  The undersigned hereby appoints William J. Schoen and Robb L. Smith, and each
and any of them, proxies for the undersigned with full power of substitution,
to vote all shares of the Common Stock of Health Management Associates, Inc.
(the "Company") owned by the undersigned at the Annual Meeting of Stockholders
to be held at the Philharmonic Center for the Arts, Daniels Pavilion, 5833
Pelican Bay Blvd., Naples, Florida 34108, on Tuesday, February 18, 1997 at 1:30
p.m., local time, and at any adjournments thereof:
 
1. Election of Directors.
                    FOR all nominees listed     WITHHOLD AUTHORITY to
                    below (except as marked to  vote for all nominees
                    the contrary). [_]          listed below. [_]
 
  INSTRUCTION: TO WITHHOLD AUTHORITY TO VOTE FOR ANY INDIVIDUAL
            NOMINEE, STRIKE A LINE THROUGH THE NOMINEE'S NAME LISTED
            BELOW.
 
William J. Schoen  Kent P. Dauten   Robert A. Knox  Charles R. Lees   Kenneth D.
Lewis                                                  William E. Mayberry, M.D.
 
2. Proposal to approve and adopt a Certificate of Amendment to the Fifth
  Restated Certificate of Incorporation of the Company to increase the number
  of authorized shares of Common Stock, par value $.01 per share, to an
  aggregate of 300,000,000 shares.
 
                    [_] FOR     [_] AGAINST     [_] ABSTAIN
 
3. Proposal to approve and ratify the selection of Ernst & Young LLP as the
  Company's independent auditors for the fiscal year ending September 30, 1997.
 
                    [_] FOR     [_] AGAINST     [_] ABSTAIN
 
4. In their discretion, the proxies are authorized to vote upon such other
  business as may properly come before the Meeting.
 
                 (CONTINUED AND TO BE SIGNED, ON REVERSE SIDE)
 
<PAGE>
 
 

 
  THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS OF THE COMPANY.
THIS PROXY WILL BE VOTED AS SPECIFIED BY THE UNDERSIGNED. THIS PROXY REVOKES
ANY PRIOR PROXY GIVEN BY THE UNDERSIGNED. UNLESS AUTHORITY TO VOTE FOR ONE OR
MORE OF THE NOMINEES IS SPECIFICALLY WITHHELD ACCORDING TO THE INSTRUCTIONS, A
SIGNED PROXY WILL BE VOTED FOR THE ELECTION OF THE SIX NAMED NOMINEES FOR
DIRECTORS AND, UNLESS OTHERWISE SPECIFIED, FOR EACH OF THE OTHER TWO PROPOSALS
LISTED HEREIN AND DESCRIBED IN THE ACCOMPANYING PROXY STATEMENT. THE
UNDERSIGNED ACKNOWLEDGES RECEIPT WITH THIS PROXY OF A COPY OF THE NOTICE OF
ANNUAL MEETING AND PROXY STATEMENT DATED DECEMBER 30, 1996, DESCRIBING MORE
FULLY THE PROPOSALS SET FORTH HEREIN.
 
                                           DATED: ______________________ , 1997
                                           ____________________________________
                                           ____________________________________
                                              SIGNATURE(S) OF STOCKHOLDER(S)
                                           PLEASE DATE AND SIGN NAME EXACTLY
                                           AS IT APPEARS HEREON. EXECUTORS,
                                           ADMINISTRATORS, TRUSTEES, ETC.
                                           SHOULD SO INDICATE WHEN SIGNING. IF
                                           THE STOCKHOLDER IS A CORPORATION,
                                           THE FULL CORPORATE NAME SHOULD BE
                                           INSERTED AND THE PROXY SIGNED BY AN
                                           OFFICER OF THE CORPORATION,
                                           INDICATING HIS TITLE.
 


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