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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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 id5HJ3VArYNrSISv2LfCfg==

<SEC-DOCUMENT>0001108109-04-000008.txt : 20040105
<SEC-HEADER>0001108109-04-000008.hdr.sgml : 20040105
<ACCEPTANCE-DATETIME>20040105142439
ACCESSION NUMBER:		0001108109-04-000008
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20040102
FILED AS OF DATE:		20040105

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			FREY DALE F
		CENTRAL INDEX KEY:			0001190772

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-15925
		FILM NUMBER:		04503722

	MAIL ADDRESS:	
		STREET 1:		8 WRIGHT ST
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			COMMUNITY HEALTH SYSTEMS INC
		CENTRAL INDEX KEY:			0001108109
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
		IRS NUMBER:				133893191
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		155 FRANKLIN RD
		STREET 2:		STE 400
		CITY:			BRENTWOOD
		STATE:			TN
		ZIP:			37027
		BUSINESS PHONE:		6153739600

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	COMMUNITY HEALTH SYSTEMS INC/
		DATE OF NAME CHANGE:	20000229
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>c0001190772d20040105f4s1f.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<ownershipDocument><schemaVersion>X0201</schemaVersion>    <documentType>4</documentType><periodOfReport>2004-01-02</periodOfReport><notSubjectToSection16>0</notSubjectToSection16><issuer><issuerCik>0001108109</issuerCik><issuerName>COMMUNITY HEALTH SYSTEMS INC</issuerName>        <issuerTradingSymbol>CYH</issuerTradingSymbol></issuer><reportingOwner><reportingOwnerId><rptOwnerCik>0001190772</rptOwnerCik><rptOwnerName>FREY DALE F</rptOwnerName></reportingOwnerId><reportingOwnerAddress><rptOwnerStreet1>C/O THE MICHAEL ALLEN COMPANY</rptOwnerStreet1><rptOwnerStreet2>8 WRIGHT STREET</rptOwnerStreet2><rptOwnerCity>WESTPORT</rptOwnerCity><rptOwnerState>CT</rptOwnerState><rptOwnerZipCode>06880</rptOwnerZipCode><rptOwnerStateDescription></rptOwnerStateDescription></reportingOwnerAddress><reportingOwnerRelationship><isDirector>1</isDirector><isOfficer>0</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther><officerTitle></officerTitle><otherText></otherText></reportingOwnerRelationship></reportingOw
ner><nonDerivativeTable><nonDerivativeHolding><securityTitle><value>Common Stock</value></securityTitle><postTransactionAmounts><sharesOwnedFollowingTransaction><value>5000</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></nonDerivativeHolding></nonDerivativeTable><derivativeTable><derivativeHolding><securityTitle><value>Stock Options (Right to buy)</value></securityTitle><conversionOrExercisePrice><value>8.96</value></conversionOrExercisePrice><exerciseDate><value>1998-05-14</value></exerciseDate><expirationDate><value>2007-05-14</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>25681</value></underlyingSecurityShares></underlyingSecurity><postTransactionAmounts><sharesOwnedFollowingTransaction><value>25681</value></sharesOwnedFo
llowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></derivativeHolding><derivativeHolding><securityTitle><value>Stock Options (Right to buy)</value></securityTitle><conversionOrExercisePrice><value>20.46</value></conversionOrExercisePrice><exerciseDate><value>2004-01-02</value></exerciseDate><expirationDate><value>2013-01-02</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>5000</value></underlyingSecurityShares></underlyingSecurity><postTransactionAmounts><sharesOwnedFollowingTransaction><value>5000</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></derivativeHolding><derivativeTr
ansaction><securityTitle><value>Stock Options (Right to buy)</value></securityTitle><conversionOrExercisePrice><value>26.95</value></conversionOrExercisePrice><transactionDate><value>2004-01-02</value></transactionDate><deemedExecutionDate></deemedExecutionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>A</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>5000</value></transactionShares><transactionPricePerShare><value>0</value></transactionPricePerShare><transactionAcquiredDisposedCode><value>A</value></transactionAcquiredDisposedCode></transactionAmounts><exerciseDate><value>2005-01-02</value><footnoteId id="F1"/></exerciseDate><expirationDate><value>2014-01-02</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>5000</value></underlyingSecurityShares></underlyingSecurity><postTransactionAmounts><
sharesOwnedFollowingTransaction><value>5000</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></derivativeTransaction></derivativeTable><footnotes><footnote id="F1">Option becomes exercisable 50% on first anniversary and remaining 50% on second anniversary of date of grant.</footnote></footnotes><ownerSignature><signatureName>Rachel A. Seifert, Attorney in Fact</signatureName><signatureDate>2004-01-05</signatureDate></ownerSignature></ownershipDocument>

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