FORM 8-K

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT
Pursuant to Section 13 or 15(d) of

The Securities Exchange Act of 1934

April 23, 2009

Date of Report (date of earliest event reported)

COMMUNITY HEALTH SYSTEMS, INC.

(Exact name of Registrant as specified in charter)


Delaware	001-15925	13-3893191
(State or other jurisdiction	(Commission File Number)	(I.R.S. Employer
of incorporation)		Identification No.)

4000 Meridian Boulevard
Franklin, Tennessee 37067
(Address of principal executive offices)
Registrant’s telephone number, including area code: (615) 465-7000

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

o		Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

o		Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o		Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240 .14d-2(b))

o		Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

The information contained in this Form 8-K (including the exhibits hereto) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, except as shall be expressly set forth by specific reference in any such filing.


ITEM 2.02		Results of Operations and Financial Condition

On April 23, 2009, Community Health Systems, Inc. (the “Company”) announced operating results for the first quarter ended March 31, 2009. A copy of the press release making this announcement is attached as Exhibit 99.1 to this Form 8-K.


ITEM 7.01		Regulation FD Disclosure

The earnings release referred to in item 2.02 above also includes an update of the Company’s previous 2009 guidance. This guidance reaffirms the Company’s previous annual earnings guidance provided on February 19, 2009, as modified to reflect changes to the same hospitals annual admissions/adjusted admissions growth assumptions, debt repayment assumptions and other minor changes. A copy of the press release making this announcement is attached as Exhibit 99.1 to this Form 8-K.


ITEM 9.01		Financial Statements and Exhibits

Exhibits

The following exhibits are furnished herewith:

99.1

Community Health Systems, Inc. Press Release dated April 23, 2009.

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.


Date: April 23, 2009	COMMUNITY HEALTH SYSTEMS, INC. (Registrant)
	By:	/s/ Wayne T. Smith
		Wayne T. Smith
		Chairman of the Board, President and Chief Executive Officer (principal executive officer)

	By:	/s/ W. Larry Cash
		W. Larry Cash
		Executive Vice President, Chief Financial Officer and Director (principal financial officer)

	By:	/s/ T. Mark Buford
		T. Mark Buford
		Vice President and Corporate Controller (principal accounting officer)

Index to Exhibits


Exhibit Number		Description

99.1		Press Release dated April 23, 2009