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 March 31, 2006, 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. ss. 1350, as adopted pursuant to
ss. 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

April 27, 2006

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.