Exhibit 32.2

                            CERTIFICATION PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

            In connection with the Quarterly Report of Community Health Systems,
Inc. (the "Company") on Form 10-Q for the period ending September 30, 2005, as
filed with the Securities and Exchange Commission on the date hereof (the
"Report"), I, W. Larry Cash, Executive Vice President, Chief Financial Officer
and Director of the Company, certify, pursuant to 18 U.S.C. Section 1350, as
adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

      (1)   The Report fully complies with the requirements of Section 13(a) or
            15(d) of the Securities Exchange Act of 1934; and

      (2)   The information contained in the Report fairly presents, in all
            material respects, the financial condition and result of operations
            of the Company.

 /s/ W. Larry Cash
------------------------
W. Larry Cash
Executive Vice President, Chief Financial Officer and Director

October 27, 2005

A signed original of this written statement required by Section 906 has been
provided to Community Health Systems, Inc. and will be retained by Community
Health Systems, Inc. and furnished to the Securities and Exchange Commission or
its staff upon request.