HEALTH MANAGEMENT ASSOCIATES INC
10-Q, 2000-08-02
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>

                                 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 June 30, 2000

                                       OR

           [_] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
                    OF THE SECURITIES EXCHANGE ACT OF 1934

                 For the transaction period from ____ to ____

                       Commission File Number  000-18799
                                              -----------


                      HEALTH MANAGEMENT ASSOCIATES, INC.
--------------------------------------------------------------------------------
            (Exact name of Registrant as specified in its charter)


            DELAWARE                                         61-0963645
--------------------------------                   -----------------------------
(State or other jurisdiction                             (I.R.S. Employer
of incorporation or organization)                     Identification Number)

   5811 Pelican Bay Boulevard, Suite 500, Naples, Florida            34108-2710
---------------------------------------------------------          -------------
        (Address of principal executive offices)                     (Zip Code)

                                 (941)598-3131
             ----------------------------------------------------
             (Registrant's telephone number, including area code)

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months, and (2) has been subject to such filing requirements
for the past 90 days.

                                                      Yes  X   No ___
                                                          ---

At July 27, 2000, the following shares of the Registrant were outstanding:


          Class A Common Stock          242,769,067 shares
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.
                                   FORM 10-Q
                 FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2000


                                     INDEX
                                     -----

<TABLE>
<CAPTION>
PART I.  FINANCIAL INFORMATION                                         Page
<S>                                                                    <C>
Item 1.  Financial Statements

     Consolidated Statements of Income --
      Three Months Ended June 30, 2000 and 1999....................... 3

     Consolidated Statements of Income --
      Nine months ended June 30, 2000 and 1999........................ 4

     Consolidated Balance Sheets--
      June 30, 2000 and September 30, 1999............................ 5

     Consolidated Statements of Cash Flows--
      Nine months ended June 30, 2000 and 1999........................ 6

     Notes to Interim Consolidated Financial Statements............... 7-8

Item 2.   Management's Discussion and Analysis of Financial
          Condition and Results of Operations......................... 9-13

PART II.  OTHER INFORMATION........................................... 14

Signatures............................................................ 15

Index To Exhibits..................................................... 16-17
</TABLE>

                                       2
<PAGE>

PART I.  FINANCIAL INFORMATION
Item 1.  Financial Statements


                      HEALTH MANAGEMENT ASSOCIATES, INC.

                       CONSOLIDATED STATEMENTS OF INCOME
                   (In thousands, except per share amounts)
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                       Three months ended
                                                            June 30,
                                                     ----------------------
                                                       2000          1999
                                                     --------      --------
<S>                                                  <C>           <C>
Net patient service revenue........................  $391,099      $352,473

Costs and expenses:
   Salaries and benefits...........................   134,579       124,382
   Supplies and other expenses.....................   114,508       101,371
   Provision for doubtful accounts.................    34,353        35,958
   Depreciation and amortization...................    19,094        15,957
   Rent expense....................................     9,660         8,603
   Interest, net...................................     6,767         2,406
                                                     --------      --------
       Total costs and expenses....................   318,961       288,677
                                                     --------      --------


Income before income taxes.........................    72,138        63,796

Provision for income taxes ........................    28,315        25,039
                                                     --------      --------


Net income ........................................  $ 43,823      $ 38,757
                                                     ========      ========


Net income per share:
   Basic...........................................  $    .18      $    .15
                                                     ========      ========
   Diluted.........................................  $    .18      $    .15
                                                     ========      ========


Weighted average number of shares outstanding:
   Basic...........................................   242,078       251,972
                                                     ========      ========
   Diluted.........................................   245,917       256,513
                                                     ========      ========
</TABLE>

                            See accompanying notes.

                                       3
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.

                       CONSOLIDATED STATEMENTS OF INCOME
                   (In thousands, except per share amounts)
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                        Nine months ended
                                                             June 30,
                                                     -----------------------
                                                        2000          1999
                                                     ----------     --------
<S>                                                  <C>            <C>
Net patient service revenue.......................   $1,169,848     $997,717

Costs and expenses:
   Salaries and benefits..........................      414,186      352,698
   Supplies and other expenses....................      339,637      283,477
   Provision for doubtful accounts................      101,411       94,930
   Depreciation and amortization..................       55,760       44,808
   Rent expense...................................       28,202       24,073
   Interest, net..................................       18,960        4,448
                                                     ----------     --------
       Total costs and expenses...................      958,156      804,434
                                                     ----------     --------


Income before income taxes........................      211,692      193,283

Provision for income taxes .......................       83,090       75,864
                                                     ----------     --------


Net income .......................................   $  128,602     $117,419
                                                     ==========     ========


Net income per share:
   Basic..........................................   $      .53     $    .47
                                                     ==========     ========
   Diluted........................................   $      .53     $    .46
                                                     ==========     ========


Weighted average number of shares outstanding:
   Basic..........................................      241,720      251,843
                                                     ==========     ========
   Diluted........................................      244,874      257,234
                                                     ==========     ========
</TABLE>

                            See accompanying notes.

                                       4
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.

                          CONSOLIDATED BALANCE SHEETS
                                (In thousands)

<TABLE>
<CAPTION>
                                       ASSETS
                                       ------
                                                           June 30,    September 30,
                                                             2000          1999
                                                          ----------   -------------
                                                          (Unaudited)
<S>                                                       <C>          <C>
Current assets:
  Cash and cash equivalents.............................  $   23,340      $   12,926
  Receivables--net......................................     333,821         338,905
  Supplies, prepaids and other assets...................      52,769          41,362
  Funds held by trustee.................................       1,922           1,764
  Deferred income taxes.................................      30,515          30,515
                                                          ----------      ----------
       Total current assets.............................     442,367         425,472

Property, plant and equipment...........................   1,276,684       1,142,456
  Less accumulated depreciation and amortization........     276,412         229,967
                                                          ----------      ----------
       Net property, plant and equipment................   1,000,272         912,489

Other assets:
  Funds held by trustee.................................       3,087           4,131
  Excess of cost over acquired assets, net..............     157,237         158,499
  Deferred charges and other assets.....................      26,539          16,709
                                                          ----------      ----------
       Total............................................     186,863         179,339
                                                          ----------      ----------

                                                          $1,629,502      $1,517,300
                                                          ==========      ==========

                        LIABILITIES AND STOCKHOLDERS' EQUITY
                        ------------------------------------

Current liabilities:
  Accounts payable......................................  $   71,562      $   73,595
  Accrued expenses and other liabilities................      54,908          71,997
  Income taxes--currently payable and deferred..........       2,170          20,278
  Current maturities of long-term debt..................       6,007           9,351
                                                          ----------      ----------
       Total current liabilities........................     134,647         175,221

Deferred income taxes...................................      32,579          32,579
Other long-term liabilities.............................      18,271          17,455
Long-term debt..........................................     457,366         401,522

Stockholders' equity:
  Preferred stock, $.01 par value, 5,000,000
    shares authorized...................................           -               -
  Common stock, Class A, $.01 par value,
    750,000,000 shares authorized, 255,264,000 and
    253,405,000 shares issued at June 30, 2000
    and September 30, 1999, respectively................       2,553           2,534
  Additional paid-in capital............................     304,473         294,579
  Retained earnings.....................................     791,104         662,502
                                                          ----------      ----------
                                                           1,098,130         959,615
  Less treasury stock, 12,500,000 and 7,500,000
     shares at June 30, 2000 and September 30,
     1999, respectively, at cost........................     111,491          69,092
                                                          ----------      ----------
       Total stockholders' equity.......................     986,639         890,523
                                                          ----------      ----------

                                                          $1,629,502      $1,517,300
                                                          ==========      ==========
</TABLE>

                            See accompanying notes.

                                       5
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.

                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                (In thousands)
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                           Nine months ended
                                                                June 30,
                                                         ----------------------
                                                            2000        1999
                                                         ---------   ----------
<S>                                                      <C>         <C>
Cash flows from operating activities:
  Net income...........................................  $ 128,602    $ 117,419
  Adjustments to reconcile net income to net
   cash provided by operating activities:
     Depreciation and amortization.....................     55,760       44,808
     Loss on sale of fixed assets......................         31        6,314

     Changes in assets and liabilities:
       Receivables--net................................     (8,517)     (39,911)
       Other current assets............................    (11,407)      (5,336)
       Deferred charges and other assets...............    (13,528)     (37,589)
       Accounts payable................................     (2,033)      14,247
       Accrued expenses and other liabilities..........        829       (1,515)
       Income taxes--
         currently payable and deferred................    (18,108)      41,802
       Other long term liabilities.....................        816         (357)
                                                         ---------    ---------

          Net cash provided by operating activities....    132,445      139,882
                                                         ---------    ---------

Cash flows from investing activities:
  Acquisition of facilities, net of cash acquired......    (55,603)    (168,056)
  Additions to property, plant and equipment...........    (87,266)    (109,070)
  Proceeds from sale of equipment......................        149           83
                                                         ---------    ---------

          Net cash used in investing activities........   (142,720)    (277,043)
                                                         ---------    ---------

Cash flows from financing activities:
  Proceeds from long-term borrowings...................    103,214      156,232
  Principal payments on debt...........................    (50,925)     (14,135)
  Decrease (increase) in funds held by trustee.........        886         (932)
  Purchase of treasury stock...........................    (42,399)      (8,101)
  Issuance of common stock, net of costs...............      9,913        3,134
                                                         ---------    ---------

          Net cash provided by
            financing activities.......................     20,689      136,198
                                                         ---------    ---------

     Net increase (decrease) in cash...................     10,414         (963)

Cash and cash equivalents at beginning of period.......     12,926       12,685
                                                         ---------    ---------

Cash and cash equivalents at end of period.............  $  23,340    $  11,722
                                                         =========    =========
</TABLE>

                            See accompanying notes.

                                       6
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.
              NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS


1.  Basis of Presentation
-------------------------

      The consolidated balance sheet as of September 30, 1999 has been derived
from the audited consolidated financial statements included in Health Management
Associates, Inc's (the Company's) 1999 Annual Report. The interim consolidated
financial statements at June 30, 2000 and for the three and nine month periods
ended June 30, 2000 and 1999 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 1999 Annual Report.

2.    Use of Estimates
----------------------

      The preparation of financial statements in conformity with generally
accepted accounting principles requires management of the Company to make
estimates and assumptions that affect the amounts reported in the 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):

<TABLE>
<CAPTION>
                                        Three months ended  Nine months ended
                                             June 30,            June 30,
                                        ------------------  ------------------
                                          2000      1999      2000      1999
                                        --------  --------  --------  --------
   <S>                                  <C>       <C>       <C>       <C>
   Numerator:
      Net income                        $ 43,823  $ 38,757  $128,602  $117,419

   Denominator:
      Denominator for basic
       earnings per share-
       weighted average shares           242,078   251,972   241,720   251,843
      Effect of dilutive securities-
       employee stock options              3,839     4,541     3,154     5,391
                                        --------  --------  --------  --------

      Denominator for diluted
       earnings per share                245,917   256,513   244,874   257,234
                                        ========  ========  ========  ========

   Basic earnings per share             $    .18  $    .15  $    .53  $    .47
                                        ========  ========  ========  ========
   Diluted earnings per share           $    .18  $    .15  $    .53  $    .46
                                        ========  ========  ========  ========
</TABLE>

                                       7
<PAGE>

                      HEALTH MANAGEMENT ASSOCIATES, INC.
              NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS


3. Earnings Per Share (continued)
---------------------------------

     In September 1999 the Board of Directors approved a stock repurchase
program of up to 25 million shares of common stock. On October 14, 1999 the
Company executed a share repurchase agreement with an independent third party,
whereby the third party agreed to "sell short" 5 million shares of the Company's
common stock to the Company. As of October 19, 1999 the 5 million shares were
delivered to the Company and became treasury stock. From October 15, 1999 to
December 15, 1999, a period of 60 days, the third party covered the "short sale"
by buying shares on the open market. On December 15, 1999 the Company
reimbursed the third party the cost of the common stock purchased plus a
commission plus interest (at LIBOR) on the outstanding balance of funds used to
purchase the common stock. The total cost for the purchase of the 5 million
shares of treasury stock was approximately $42 million.

4. Acquisition
--------------

     Effective July 1, 2000 the Company acquired a 268-bed acute care hospital
located in Lancaster, Pennsylvania pursuant to an asset purchase agreement. The
consideration totaled approximately $61.5 million, which included $55.3 in cash
paid at closing. The cash paid included the purchase of land, buildings and
equipment and certain working capital, as well as $1 million to a foundation to
fund local charitable activities. The remaining $6.2 million in consideration
represents the net present value of a continuing obligation to contribute $1
million annually to the foundation for the next nine years beginning July 1,
2001.

     The transaction closed on June 30, 2000.  The cash used to finance the
acquisition was drawn from the Company's unsecured line of credit, and,
accordingly, is included in the Company's financial statements at June 30, 2000.

                                       8
<PAGE>

Item 2.  Management's Discussion and Analysis of Financial
         Condition and Results of Operations

         Results of Operations
         ---------------------
         Three months ended June 30, 2000 compared
         -----------------------------------------
         to three months ended June 30, 1999
         -----------------------------------

              Net patient service revenue for the three months ended June 30,
         2000 ("2000 Period") was $391.1 million, as compared to $352.5 million
         for the three months ended June 30, 1999 ("1999 Period"). This
         represented an increase in net patient service revenue of $38.6
         million, or 11.0%. Hospitals in operation for the entire 2000 Period
         and 1999 Period ("same hospitals") provided $24.7 million of the
         increase in net patient service revenue, which resulted primarily from
         inpatient and outpatient volume increases. The remaining increase of
         $13.9 million included $15.0 million of net patient service revenue
         from the May 1999 acquisition of a 167-bed acute care hospital and the
         July 1999 acquisition of a 204-bed acute care hospital, offset by a
         decrease of $1.1 million in Corporate and other revenue.

              During the 2000 Period the Company's hospitals generated total
         patient days of service and an occupancy rate of 187,273 and 45.3%,
         respectively, versus 181,338 and 45.1%, respectively, for the 1999
         Period. Same hospital patient days and occupancy for the 2000 Period
         were 163,221 and 44.8%, respectively, versus 159,801 and 43.7%,
         respectively, for the 1999 Period. Same hospital admissions for the
         Company during the 2000 Period were 36,406, up 6.4% from the 34,219
         admissions during the 1999 Period.

              The Company's operating expenses (salaries and benefits, supplies
         and other expenses, provision for doubtful accounts and rent expense)
         for the 2000 Period were $293.1 million or 74.9% of net patient service
         revenue as compared to $270.3 million or 76.7% of net patient service
         revenue for the 1999 Period. Of the total $22.8 million increase,
         approximately $10.2 million related to same hospitals, which was
         largely attributable to the increased patient volumes. Another $11.2
         million of increased operating expense related to the acquisitions
         mentioned previously. The remaining increase of $1.5 million
         represented an increase in Corporate and miscellaneous other operating
         expenses.

              The Company's depreciation and amortization costs increased by
         $3.1 million and interest expense increased by $4.4 million. The
         increase in depreciation and amortization resulted primarily from the
         acquisitions mentioned previously. The increase in interest expense was
         due largely from acquisition related debt.

              The Company's income before income taxes was $72.1 million for the
         2000 Period as compared to $63.8 million for the 1999 Period, an
         increase of $8.3 million or 13.0%. The increase resulted primarily from
         same hospital volume increases and the acquisitions mentioned
         previously. The Company's provision for income taxes was $28.3 million
         for the 2000 Period as compared to $25.0 million for the 1999 Period.
         These provisions reflect effective income tax rates of 39.3% for both
         periods. As a result of the foregoing, the Company's net income was
         $43.8 million for the 2000 Period as compared to $38.8 million for the
         1999 Period.

                                       9
<PAGE>

Item 2.   Management's discussion and Analysis of Financial
          Condition and Results of Operations (continued)


          Results of Operations
          ---------------------
          Nine months ended June 30, 2000 compared
          ----------------------------------------
          to nine months ended June 30, 1999
          ----------------------------------

               Net patient service revenue for the nine months ended June 30,
          2000 ("2000 Nine Month Period") was $1,169.8 million, as compared to
          $997.7 million for the nine months ended June 30, 1999 ("1999 Nine
          Month Period"). This represented an increase in net patient service
          revenue of $172.1 million, or 17.3%. Same hospitals provided $47.4
          million, of the increase in net patient service revenue, which
          resulted primarily from inpatient and outpatient volume increases. The
          remaining increase of $124.7 million included $127.2 million of net
          patient service revenue from the April 1999 acquisition of a 473-bed
          acute care hospital system, the May 1999 acquisition of a 167-bed
          acute care hospital and the July 1999 acquisition of a 204-bed acute
          care hospital, offset by a decrease of $2.5 million in Corporate and
          miscellaneous revenue.

               During the 2000 Nine Month Period the Company's hospitals
          generated 595,296 total patient days of service and an occupancy rate
          of 47.0%, versus 531,993 and 48.5%, respectively, for the 1999 Nine
          Month Period. Same hospital patient days and occupancy for the 2000
          Nine Month Period were 477,404 and 49.3%, respectively, versus 462,023
          and 47.9%, respectively, for the 1999 Nine Month Period. Same hospital
          admissions for the Company during the 2000 Nine Month Period were
          106,282 up 4.5% from the 101,681 admissions during the 1999 Nine Month
          Period.

               The Company's operating expenses for the 2000 Nine Month Period
          were $883.4 million or 75.5% of net patient service revenue as
          compared to $755.1 million or 75.7% of net patient service revenue for
          the 1999 Nine Month Period. Of the total $128.3 million increase,
          approximately $33.1 million related to same hospitals, which was
          largely attributable to increased patient volumes. Another $92.1
          million of increased operating expense related to the hospital
          acquisitions mentioned previously. The remaining increase of $3.1
          million represented an increase in Corporate and miscellaneous other
          operating expenses.

               The Company's depreciation and amortization costs increased by
          $11.0 million and interest expense increased by $14.5 million. The
          increase in depreciation and amortization resulted primarily from the
          acquisitions previously mentioned. The increase in interest expense
          was due largely from acquisition related debt.

               The Company's income before income taxes was $211.7 million for
          the 2000 Nine Month Period as compared to $193.3 million for the 1999
          Nine Month Period, an increase of $18.4 million, or 9.5%. The increase
          resulted primarily from same hospital volume increases and the
          acquisitions mentioned previously. The Company's provision for income
          taxes was $83.1 million for the 2000 Nine Month Period as compared to
          $75.9 million for the 1999 Nine Month Period. These provisions reflect
          effective income tax rates of 39.3% for both periods. As a result of
          the foregoing, the Company's net income was $128.6 million for the
          2000

                                       10
<PAGE>

Item 2.   Management's discussion and Analysis of Financial
          Condition and Results of Operations (continued)

          Nine Month Period as compared to $117.4 million for the 1999 Nine
          Month Period.

          Liquidity and Capital Resources
          -------------------------------

             2000 Nine Month Period Cash Flows compared to 1999 Nine Month
          Period Cash Flows

             The Company's operating cash flows totaled $132.4 million for the
          2000 Nine Month Period as compared to $139.9 million for the 1999 Nine
          Month Period. The continued positive cash flows from operating
          activities results from the Company's profitability and management of
          its working capital. The Company's investing activities used $142.7
          million and $277.0 million for the 2000 Nine Month Period and 1999
          Nine Month Period, respectively. Hospital acquisitions accounted for
          the majority of the expenditures in the 1999 Nine Month Period and a
          large part of the net cash used in the 2000 Nine Month Period.
          Financing activities provided net cash of $20.7 million for the 2000
          Nine Month Period and $136.2 million for the 1999 Nine Month Period.
          Borrowings under the Company's Credit Agreement for acquisitions and
          purchases of the Company's treasury stock (principally in the 2000
          Nine Month period) accounted for the majority of the change from the
          1999 Nine Month Period to the 2000 Nine Month Period. See the
          Consolidated Statements of Cash Flows for the nine months ended June
          30, 2000 and 1999 at page 6 of this Report.

             Capital Resources

             During November 1999 the Company closed on a $600 million Credit
          Agreement (the "Credit Agreement"), thereby refinancing and replacing
          its existing $300 million Credit Agreement (the "Agreement") which
          expired on November 30, 1999. The Credit Agreement is an unsecured
          revolving credit loan, comprised of a $150 million 364-day credit loan
          and a $450 million 5-year credit loan. Similar to the Agreement, the
          new Credit Agreement permits the Company to borrow under either loan
          at any time through the respective loan's termination date, at which
          time all outstanding revolving credit loans become due and payable.
          Under either loan, 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 set at LIBOR plus 1.00
          percent, and will increase or decrease in relation to a change in the
          Company's credit rating. As of June 30, 2000 the outstanding balance
          was $370 million.

             The Company also has an annual revolving credit facility with a
          bank which provides a $15 million unsecured line of credit commitment
          through December 31, 2000 (increased from $10 million as of March 23,
          2000). Interest on the outstanding loans is payable at the bank's
          Index Rate (prime) less 1/4%. As of June 30, 2000 there were no
          amounts outstanding under this line.

                                       11
<PAGE>

Item 2.   Management's Discussion and Analysis of Financial
          Condition and Results of Operations (Continued)


             The Company is obligated to pay certain commitment fees based upon
          amounts borrowed and available for borrowing during the terms of both
          such credit facilities ("Credit Facilities").

             The Company's Credit Facilities contain certain covenants which,
          without prior consent of the banks, limit certain activities of the
          Company and its subsidiaries, including those relating to merger,
          consolidation and the Company's ability to secure indebtedness, make
          guarantees, and grant security interests. The Company must also
          maintain minimum levels of consolidated tangible net worth, debt
          service coverage, debt to cash flow and net worth.

             Effective July 1, 2000 the Company acquired a 268-bed acute care
          hospital in Lancaster, Pennsylvania pursuant to an asset purchase
          agreement. The Company borrowed $55 million of cash under its Credit
          Agreement to close the transaction on June 30, 2000. See also footnote
          #4 of the Notes to Interim Consolidated Financial Statements at page 8
          of this Report.

             In June 2000 the Company announced the execution of definitive
          agreements to acquire Pasco Community Hospital, a 120-bed acute care
          hospital located in Dade City, Florida, and Davis Medical Center, a
          149-bed acute care hospital located in Statesville, North Carolina.
          The Company expects to close on these transactions on or about August
          1, 2000 and October 1, 2000, respectively. The total cash required for
          these transactions is estimated to be approximately $70 million. The
          Company anticipates using funds available under its Credit Agreement
          to finance the transactions.

             At the present time, the Company anticipates that cash on hand,
          internally generated funds, and funds available under its Credit
          Facilities will be sufficient to satisfy the Company's requirements
          for capital expenditures, future acquisitions and working capital.

          Year 2000 Computer Update
          -------------------------

             As described in the Company's Annual Report on Form 10-K for the
          year ended September 30, 1999, the Company had implemented its plan to
          address possible exposures related to the impact of Year 2000 computer
          issues on its computer systems, its equipment and third parties with
          which the Company's systems interface. Since entering the year 2000,
          the Company has not experienced any disruptions to its business nor is
          it aware of any significant year 2000-related disruptions impacting
          its third party payors or vendors. The Company will continue to
          monitor its critical systems but does not anticipate any significant
          impacts due to Year 2000 exposures from its internal systems as well
          as from third parties.

             Costs incurred to achieve Year 2000 readiness included the use of
          both internal and external resources. Such costs have been expensed as
          incurred, and have not had a material adverse effect on the Company's
          results of operations.

                                       12
<PAGE>

Item 2.  Management's Discussion and Analysis of Financial
         Condition and Results of Operations (Continued)


         Forward-Looking Statements
         --------------------------

            Certain statements contained in this Form 10-Q, including, without
         limitation, statements containing the words "believes," "anticipates,"
         "intends," "expects" and words of similar import, constitute "forward-
         looking statements" within the meaning of the Private Securities
         Litigation Reform Act of 1995. Such forward-looking statements involve
         known and unknown risks, uncertainties and other factors that may cause
         the actual results, performance or achievements of the Company or
         industry results to be materially different from any future results,
         performance or achievements expressed or implied by such forward-
         looking statements. Such factors include, among others, the following:
         general economic and business conditions, both nationally and in the
         regions in which the Company operates; industry capacity; demographic
         changes; existing governmental regulations and changes in, or the
         failure to comply with, governmental regulations; legislative proposals
         for health care reform; the ability to enter into managed care provider
         arrangements on acceptable terms; changes in Medicare and Medicaid
         payment levels; liability and other claims asserted against the
         Company; competition; the loss of any significant ability to attract
         and retain qualified personnel, including physicians; the availability
         and terms of capital to fund additional acquisitions or replacement
         facilities. Given these uncertainties, prospective investors are
         cautioned not to place undue reliance on such forward-looking
         statements. The Company disclaims any obligation to update any such
         factors or to publicly announce the results of any revision to any of
         the forward-looking statements contained herein to reflect future
         events or developments.

                                       13
<PAGE>

                          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.
         -----------------

         Effective July 1, 2000 the Company acquired a 268-bed acute care
         hospital located in Lancaster, Pennsylvania pursuant to an asset
         purchase agreement. The consideration totaled approximately $61.5
         million, which included $55.3 in cash paid at closing. The cash paid
         included the purchase of land, buildings and equipment and certain
         working capital, as well as $1 million to a foundation to fund local
         charitable activities. The remaining $6.2 million in consideration
         represents the net present value of a continuing obligation to
         contribute $1 million annually to the foundation for the next nine
         years beginning July 1, 2001. The Company borrowed $55 million of cash
         under its Credit Agreement to close the transaction on June 30, 2000.

Item 6.  Exhibits and Reports on Form 8-K.
         --------------------------------

         a.  Exhibits:
             --------

             See Index to Exhibits located on page 16.

         b.  Reports on Form 8-K:
             -------------------

             None

                                       14
<PAGE>

                                  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: July 31, 2000                     BY:   /s/ Stephen M. Ray
                                             ---------------------------------
                                             Stephen M. Ray
                                             Executive Vice President-Finance
                                             (Duly authorized officer and
                                             Principal Financial Officer)

                                       15
<PAGE>

                               INDEX TO EXHIBITS

(2)  Plan of acquisition, reorganization, arrangement, liquidation or
     succession.

     Not applicable.

(3)  (i)  Articles of Incorporation

     3.1  The Fifth Restated Certificate of Incorporation, previously filed and
          included as Exhibit 3.1 to the Company's Quarterly Report on Form 10-Q
          for the quarter ended March 31, 1995, is incorporated herein by
          reference.

     3.2  Certificate of Amendment to Fifth Restated Certificate of
          Incorporation, previously filed and included as Exhibit 3.2 to the
          Company's Annual Report on Form 10-K for the year ended September 30,
          1999, is incorporated herein by reference.

     (ii) By-laws

          The By-laws, as amended, previously filed and included as Exhibit 3.3
          to the Company's Quarterly Report on Form 10-Q for the quarter ended
          December 31, 1995, 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.

     Credit Agreement by and among Health Management Associates, Inc., as
     Borrower, Bank of America, N.A., as Administrative Agent and as Lender,
     First Union National Bank, as Syndication Agent and as Lender, and the
     Chase Manhattan Bank, as Syndication Agent and as Lender, and The Lenders
     Party Hereto From Time To Time, dated November 30, 1999, previously filed
     and included as Exhibit 4.5 to the Company's Annual Report on Form 10-K for
     the fiscal year ended September 30, 1999, is incorporated herein by
     reference.

     Credit Agreement dated March 23, 2000 between First Union National Bank and
     Health Management Associates, Inc., pertaining to a $15 million working
     capital and cash management line of credit, previously filed and included
     as Exhibit 4.1 to the Company's Quarterly Report on Form 10-Q for the
     quarter ended March 31, 2000, is incorporated herein by reference.

(10) Material contracts.

     Amendment No. 5 to the Health Management Associates, Inc. 1996 Executive
     Incentive Compensation Plan, is included herein as Exhibit 10.1 at page 18
     of this Report.

     Amendment No. 6 to the Health Management Associates, Inc. 1996 Executive
     Incentive Compensation Plan, is included herein as Exhibit 10.2 at page 19
     of this Report.

(11) Statement re computation of per share earnings.

     Not applicable.

                                       16
<PAGE>

                         INDEX TO EXHIBITS (Continued)


(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.

(27) Financial Data Schedule.

     Financial Data Schedule is included herein as Exhibit 27.1 at page 20 of
     this report.

(99) Additional exhibits.

     Not applicable.

                                       17


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