0001206774-04-001740 Sample Contracts

FIRST SUPPLEMENTAL INDENTURE BETWEEN HEALTH MANAGEMENT ASSOCIATES, INC., AS ISSUER AND WACHOVIA BANK, NATIONAL ASSOCIATION, AS TRUSTEE DATED AS OF NOVEMBER 24, 2004 TO INDENTURE DATED AS OF JULY 29, 2003
First Supplemental Indenture • December 14th, 2004 • Health Management Associates Inc • Services-general medical & surgical hospitals, nec • New York

THIS FIRST SUPPLEMENTAL INDENTURE (this “First Supplemental Indenture”) is made as of the 24th day of November, 2004, between Health Management Associates, Inc. (the “Company”), and Wachovia Bank, National Association, as trustee (the “Trustee”).

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SECOND SUPPLEMENTAL INDENTURE BETWEEN HEALTH MANAGEMENT ASSOCIATES, INC., AS ISSUER AND WACHOVIA BANK, NATIONAL ASSOCIATION, AS TRUSTEE DATED AS OF NOVEMBER 30, 2004 TO INDENTURE DATED AS OF JULY 29, 2003
Second Supplemental Indenture • December 14th, 2004 • Health Management Associates Inc • Services-general medical & surgical hospitals, nec • New York

THIS SECOND SUPPLEMENTAL INDENTURE (this “Second Supplemental Indenture”) is made as of the 30th day of November, 2004, between Health Management Associates, Inc. (the “Company”), and Wachovia Bank, National Association, as trustee (the “Trustee”).

DIRECTOR STOCK OPTION AGREEMENT
Director Stock Option Agreement • December 14th, 2004 • Health Management Associates Inc • Services-general medical & surgical hospitals, nec • Delaware

This Stock Option Agreement (the “Agreement”) has been made as of [ ], between HEALTH MANAGEMENT ASSOCIATES, INC., a Delaware corporation (the “Company”), and[ ](“Optionee”).

STOCK OPTION AGREEMENT under the Health Management Associates, Inc. 1996 Executive Incentive Compensation Plan
Stock Option Agreement • December 14th, 2004 • Health Management Associates Inc • Services-general medical & surgical hospitals, nec • Delaware

This Stock Option Agreement is made as of [ ], by and between Health Management Associates, Inc., a Delaware corporation (the “Company”), and [ ], (the “Optionee”).

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