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EXHIBIT 31.1

I, Wayne T. Smith, certify that:

1.    I have reviewed this quarterly report on Form 10-Q of Community Health
      Systems, Inc.;

2.    Based on my knowledge, this quarterly report does not contain any untrue
      statement of a material fact or omit to state a material fact necessary to
      make the statements made, in light of the circumstances under which such
      statements were made, not misleading with respect to the period covered by
      this quarterly report;

3.    Based on my knowledge, the financial statements, and other financial
      information included in this quarterly report, fairly present in all
      material respects the financial condition, results of operations and cash
      flows of the registrant as of, and for, the periods presented in this
      quarterly report;

4.    The registrant's other certifying officer and I are responsible for
      establishing and maintaining disclosure controls and procedures (as
      defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal
      control over financial reporting (as defined in Exchange Act Rules
      13a-15(f) and 15d-15(f)) for the registrant and we have:

      a) designed such disclosure controls and procedures, or caused such
      disclosure controls and procedures to be designed under our supervision,
      to ensure that material information relating to the registrant, including
      its consolidated subsidiaries, is made known to us by others within those
      entities, particularly during the period in which this quarterly report is
      being prepared;

      b) designed such internal controls over financial reporting, or caused
      such internal control over financial reporting to be designed under our
      supervision, to provide reasonable assurance regarding the reliability of
      financial reporting and the preparation of financial statements for
      external purposes in accordance with generally accepted accounting
      principles;

      c) evaluated the effectiveness of the registrant's disclosure controls and
      procedures and presented in this report our conclusions about the
      effectiveness of the disclosure controls and procedures, as of the end of
      the period covered by this report based on such evaluation; and

      d) disclosed in this report any change in the registrant's internal
      control over financial reporting that occurred during the registrant's
      most recent fiscal quarter (the registrant's fourth fiscal quarter in the
      case of an annual report) that has materially affected, or is reasonably
      likely to materially affect, the registrant's internal control over
      financial reporting; and

5.    The registrant's other certifying officer and I have disclosed, based on
      our most recent evaluation of internal control over financial reporting,
      to the registrant's auditors and the audit committee of the registrant's
      board of directors:

      a) all significant deficiencies and material weaknesses in the design or
      operation of internal control over financial reporting which are
      reasonably likely to adversely affect the registrant's ability to record,
      process, summarize and report financial information; and

      b) any fraud, whether or not material, that involves management or other
      employees who have a significant role in the registrant's internal control
      over financial reporting.

Date: October 27, 2005                            /s/ Wayne T. Smith
                                                --------------------------------
                                                Wayne T. Smith
                                                Chairman of the Board, President
                                                and Chief Executive Officer

EXHIBIT 31.2

I, W. Larry Cash, certify that:

1.    I have reviewed this quarterly report on Form 10-Q of Community Health
      Systems, Inc.;

2.    Based on my knowledge, this quarterly report does not contain any untrue
      statement of a material fact or omit to state a material fact necessary to
      make the statements made, in light of the circumstances under which such
      statements were made, not misleading with respect to the period covered by
      this quarterly report;

3.    Based on my knowledge, the financial statements, and other financial
      information included in this quarterly report, fairly present in all
      material respects the financial condition, results of operations and cash
      flows of the registrant as of, and for, the periods presented in this
      quarterly report;

4.    The registrant's other certifying officer and I are responsible for
      establishing and maintaining disclosure controls and procedures (as
      defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal
      control over financial reporting (as defined in Exchange Act Rules
      13a-15(f) and 15d-15(f)) for the registrant and we have:

      a) designed such disclosure controls and procedures, or caused such
      disclosure controls and procedures to be designed under our supervision,
      to ensure that material information relating to the registrant, including
      its consolidated subsidiaries, is made known to us by others within those
      entities, particularly during the period in which this quarterly report is
      being prepared;

      b) designed such internal controls over financial reporting, or caused
      such internal control over financial reporting to be designed under our
      supervision, to provide reasonable assurance regarding the reliability of
      financial reporting and the preparation of financial statements for
      external purposes in accordance with generally accepted accounting
      principles;

      c) evaluated the effectiveness of the registrant's disclosure controls and
      procedures and presented in this report our conclusions about the
      effectiveness of the disclosure controls and procedures, as of the end of
      the period covered by this report based on such evaluation; and

      d) disclosed in this report any change in the registrant's internal
      control over financial reporting that occurred during the registrant's
      most recent fiscal quarter (the registrant's fourth fiscal quarter in the
      case of an annual report) that has materially affected, or is reasonably
      likely to materially affect, the registrant's internal control over
      financial reporting; and

5.    The registrant's other certifying officer and I have disclosed, based on
      our most recent evaluation of internal control over financial reporting,
      to the registrant's auditors and the audit committee of the registrant's
      board of directors:

      a) all significant deficiencies and material weaknesses in the design or
      operation of internal control over financial reporting which are
      reasonably likely to adversely affect the registrant's ability to record,
      process, summarize and report financial information; and

      b) any fraud, whether or not material, that involves management or other
      employees who have a significant role in the registrant's internal control
      over financial reporting.

Date: October 27, 2005                       /s/ W. Larry Cash
                                           -------------------------------
                                           W. Larry Cash
                                           Executive Vice President,
                                           Chief Financial Officer and Director

Exhibit 32.1

                            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, Wayne T. Smith, Chairman of the Board, President and Chief
Executive Officer 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/ Wayne T. Smith
- ----------------------
Wayne T. Smith
Chairman of the Board, President and Chief Executive Officer

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.

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.

Exhibit 99.1

                   FACTORS THAT MAY AFFECT FUTURE PERFORMANCE

The following risk factors could materially and adversely affect our future
operating results and could cause actual results to differ material from those
predicted in the forward-looking statements we make about our business.

OUR LEVEL OF INDEBTEDNESS COULD ADVERSELY AFFECT OUR ABILITY TO RAISE ADDITIONAL
CAPITAL TO FUND OUR OPERATIONS, LIMIT OUR ABILITY TO REACT TO CHANGES IN THE
ECONOMY OR OUR INDUSTRY AND PREVENT US FROM MEETING OUR OBLIGATIONS UNDER THE
AGREEMENTS RELATING TO OUR INDEBTEDNESS.

     We are significantly leveraged. The chart below shows our level of
indebtedness and other information as of September 30, 2005. This chart does not
include $425 million that would be available for future borrowings under the
revolving tranche of our senior secured credit facility, of which $27 million is
reserved for outstanding letters of credit. We also have the ability to amend
our senior secured credit facility to provide for one or more additional
tranches of term loans in aggregate principal amount of up to $400 million.



                                                          As of
                                                    September 30, 2005
                                                    ------------------
                                                 
Senior secured credit facility
  Revolving tranche ..........................            $     -
  Term loan ..................................              1,188
Notes ........................................                300
Other ........................................                322
                                                          -------
  Total debt .................................            $ 1,810
                                                          =======
Stockholder equity ...........................            $ 1,351
                                                          =======




                                                 Nine Months Ended
                                                 September 30, 2005
                                                 ------------------
                                              
Ratio of earnings to fixed charges ...........       3.59         x


Our substantial degree of leverage could have important consequences for you,
including the following:

      -     it may limit our ability to obtain additional debt or equity
            financing for working capital, capital expenditures, debt service
            requirements, acquisitions and general corporate or other purposes;

      -     a substantial portion of our cash flows from operations will be
            dedicated to the payment of principal and interest on our
            indebtedness and will not be available for other purposes, including
            our operations, capital expenditures and future business
            opportunities;

      -     the debt service requirements of our other indebtedness could make
            it more difficult for us to satisfy our financial obligations,
            including those related to the notes;

      -     some of our borrowings, including borrowings under our senior
            secured credit facility, are at variable rates of interest, exposing
            us to the risk of increased interest rates;

      -     it may limit our ability to adjust to changing market conditions and
            place us at a competitive disadvantage compared to our competitors
            that have less debt; and

      -     we may be vulnerable in a downturn in general economic conditions or
            in our business, or we may be unable to carry out capital spending
            that is important to our growth.

IF COMPETITION DECREASES OUR ABILITY TO ACQUIRE ADDITIONAL HOSPITALS ON
FAVORABLE TERMS, WE MAY BE UNABLE TO EXECUTE OUR ACQUISITION STRATEGY.

An important part of our business strategy is to acquire two to four hospitals
each year in non-urban markets. However, not-for-profit hospital systems and
other for-profit hospital companies generally attempt to acquire the same type
of hospitals as we do. Some of these other purchasers have greater financial
resources than we do. Our



principal competitors for acquisitions have included Health Management
Associates, Inc., and LifePoint Hospitals, Inc. On some occasions, we also
compete with Universal Health Services, Inc. and Triad Hospitals Inc. In
addition, some hospitals are sold through an auction process, which may result
in higher purchase prices than we believe are reasonable. Therefore, we may not
be able to acquire additional hospitals on terms favorable to us.

IF WE FAIL TO IMPROVE THE OPERATIONS OF FUTURE ACQUIRED HOSPITALS, WE MAY BE
UNABLE TO ACHIEVE OUR GROWTH STRATEGY.

Most of the hospitals we have acquired or will acquire had or may have
significantly lower operating margins than we do and/or operating losses prior
to the time we acquired them. In the past, we have occasionally experienced
temporary delays in improving the operating margins or effectively integrating
the operations of these acquired hospitals. In the future, if we are unable to
improve the operating margins of acquired hospitals, operate them profitably, or
effectively integrate their operations, we may be unable to achieve our growth
strategy.

IF WE ACQUIRE HOSPITALS WITH UNKNOWN OR CONTINGENT LIABILITIES, WE COULD BECOME
LIABLE FOR MATERIAL OBLIGATIONS.

Hospitals that we acquire may have unknown or contingent liabilities, including
liabilities for failure to comply with healthcare laws and regulations. Although
we seek indemnification from prospective sellers covering these matters, we may
nevertheless have material liabilities for past activities of acquired
hospitals.

STATE EFFORTS TO REGULATE THE SALE OF HOSPITALS OPERATED BY NOT-FOR-PROFIT
ENTITIES COULD PREVENT US FROM ACQUIRING ADDITIONAL HOSPITALS AND EXECUTING OUR
BUSINESS STRATEGY.

Many states, including some where we have hospitals and others where we may in
the future acquire hospitals, have adopted legislation regarding the sale or
other disposition of hospitals operated by not-for-profit entities. In other
states that do not have specific legislation, the attorneys general have
demonstrated an interest in these transactions under their general obligations
to protect charitable assets from waste. These legislative and administrative
efforts focus primarily on the appropriate valuation of the assets divested and
the use of the proceeds of the sale by the non-profit seller. While these review
and, in some instances, approval processes can add additional time to the
closing of a hospital acquisition, we have not had any significant difficulties
or delays in completing acquisitions. However, future actions on the state level
could seriously delay or even prevent our ability to acquire hospitals.

STATE EFFORTS TO REGULATE THE CONSTRUCTION, ACQUISITION OR EXPANSION OF
HOSPITALS COULD PREVENT US FROM ACQUIRING ADDITIONAL HOSPITALS, RENOVATING OUR
FACILITIES OR EXPANDING THE BREADTH OF SERVICES WE OFFER.

Some states require prior approval for the construction or acquisition of
healthcare facilities and for the expansion of healthcare facilities and
services. In giving approval, these states consider the need for additional or
expanded healthcare facilities or services. In some states in which we operate,
we are required to obtain certificates of need, known as CONs, for capital
expenditures exceeding a prescribed amount, changes in bed capacity or services,
and some other matters. Other states may adopt similar legislation. We may not
be able to obtain the required CONs or other prior approvals for additional or
expanded facilities in the future. For example, in October 2003, our hospital in
Jackson, Tennessee, which we acquired earlier that year, lost a competitor's
long standing challenge of the CON originally granted in 1998 to provide
interventional cardiology and open heart surgery services. The challenge
concluded with the voiding of the previously issued CON and a discontinuation of
those services. The voiding of the CON did not have a material adverse impact on
our operations. In addition, at the time we acquire a hospital, we may agree to
replace or expand the facility we are acquiring. If we are not able to obtain
required prior approvals, we would not be able to acquire additional hospitals
and expand the breadth of services we offer.

IF WE ARE UNABLE TO EFFECTIVELY COMPETE FOR PATIENTS, LOCAL RESIDENTS COULD USE
OTHER HOSPITALS.

The hospital industry is highly competitive. In addition to the competition we
face for acquisitions and physicians, we must also compete with other hospitals
and healthcare providers for patients. The competition among hospitals and other
healthcare providers for patients has intensified in recent years. Our hospitals
are located in non-urban service areas. In approximately 85% of our markets, we
are the sole provider of general healthcare services. In most of our other
markets, the primary competitor is a not-for-profit hospital. These
not-for-profit hospitals generally differ in each jurisdiction. However, our
hospitals face competition from hospitals outside of their primary service area,
including hospitals in urban areas that provide more complex services. These
facilities generally are located in excess of 25 miles from our facilities.
Patients in our primary service areas may travel to these other hospitals for a

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variety of reasons. These reasons include physician referrals or the need for
services we do not offer. Patients who seek services from these other hospitals
may subsequently shift their preferences to those hospitals for the services we
provide.

Some of our hospitals operate in primary service areas where they compete with
one other hospital. One of our hospitals competes with more than one other
hospital in its primary service area. Some of these competing hospitals use
equipment and services more specialized than those available at our hospitals.
In addition, some competing hospitals are owned by tax-supported governmental
agencies or not-for-profit entities supported by endowments and charitable
contributions. These hospitals can make capital expenditures without paying
sales, property and income taxes. We also face competition from other
specialized care providers, including outpatient surgery, orthopedic, oncology
and diagnostic centers.

We expect that these competitive trends will continue. Our inability to compete
effectively with other hospitals and other healthcare providers could cause
local residents to use other hospitals.

THE FAILURE TO OBTAIN OUR MEDICAL SUPPLIES AT FAVORABLE PRICES COULD CAUSE OUR
OPERATING RESULTS TO DECLINE.

In November 2004, we entered into an affiliation agreement with HealthTrust
Purchasing Group, L.P., a group purchasing organization, or GPO, of which we are
a minority partner. GPOs attempt to obtain favorable pricing on medical supplies
with manufacturers and vendors who sometimes negotiate exclusive supply
arrangements in exchange for the discounts they give. Recently, some vendors who
are not GPO members have challenged these exclusive supply arrangements. In
addition, the U.S. Senate has held hearings with respect to GPOs and these
exclusive supply arrangements. To the extent these exclusive supply arrangements
are challenged or deemed unenforceable, we could incur higher costs for our
medical supplies obtained through HealthTrust. These higher costs could cause
our operating results to decline. There can be no assurance that our arrangement
with HealthTrust will provide the discounts we expect to achieve.

IF THE FAIR VALUE OF OUR REPORTING UNITS DECLINES, A MATERIAL NON-CASH CHARGE TO
EARNINGS FROM IMPAIRMENT OF OUR GOODWILL COULD RESULT.

Affiliates of Forstmann Little & Co. acquired our predecessor company in 1996
principally for cash. We recorded a significant portion of the purchase price as
goodwill. We have also recorded as goodwill a portion of the purchase price for
many of our subsequent hospital acquisitions. At September 30, 2005, we had
approximately $1.237 billion of goodwill recorded on our books. We expect to
recover the carrying value of this goodwill through our future cash flows. On an
ongoing basis, we evaluate, based on the fair value of our reporting units,
whether the carrying value of our goodwill is impaired. If the carrying value of
our goodwill is impaired, we may incur a material non-cash charge to earnings.

RISKS RELATED TO OUR INDUSTRY

IF FEDERAL OR STATE HEALTHCARE PROGRAMS OR MANAGED CARE COMPANIES REDUCE THE
PAYMENTS WE RECEIVE AS REIMBURSEMENT FOR SERVICES WE PROVIDE, OUR NET OPERATING
REVENUES MAY DECLINE.

In the nine months ended September 30, 2005, 42.8% of our net operating revenues
came from the Medicare and Medicaid programs. In recent years, federal and state
governments made significant changes in the Medicare and Medicaid programs,
including the Medicare Prescription Drug, Improvement and Modernization Act of
2003. Some of these changes have decreased the amount of money we receive for
our services relating to these programs.

In recent years, Congress and some state legislatures have introduced an
increasing number of other proposals to make major changes in the healthcare
system. Future federal and state legislation may further reduce the payments we
receive for our services. For example, the Governor of the State of Tennessee
recently announced plans to dissolve TennCare, a supplementary health care
program for poor, disabled and elderly persons. Subsequently, the Governor of
the State of Tennessee announced instead plans to cut costs in TennCare by
restricting eligibility and capping specified services. Certain of these plans
are currently under appeal, however, if fully implemented, these plans could
reduce payments for our services provided in the State of Tennessee.

In addition, insurance and managed care companies and other third parties from
whom we receive payment for our services increasingly are attempting to control
healthcare costs by requiring that hospitals discount payments for

                                       3


their services in exchange for exclusive or preferred participation in their
benefit plans. We believe that this trend may continue and may reduce the
payments we receive for our services.

IF WE FAIL TO COMPLY WITH EXTENSIVE LAWS AND GOVERNMENT REGULATIONS, INCLUDING
FRAUD AND ABUSE LAWS, WE COULD SUFFER PENALTIES OR BE REQUIRED TO MAKE
SIGNIFICANT CHANGES TO OUR OPERATIONS.

The healthcare industry is required to comply with many laws and regulations at
the federal, state, and local government levels. These laws and regulations
require that hospitals meet various requirements, including those relating to
the adequacy of medical care, equipment, personnel, operating policies and
procedures, maintenance of adequate records, compliance with building codes,
environmental protection and privacy. These laws include the Health Insurance
Portability and Accountability Act of 1996 and a section of the Social Security
Act, known as the "anti-kickback" statute. If we fail to comply with applicable
laws and regulations, including fraud and abuse laws, we could suffer civil or
criminal penalties, including the loss of our licenses to operate and our
ability to participate in the Medicare, Medicaid, and other federal and state
healthcare programs.

In addition, there are heightened coordinated civil and criminal enforcement
efforts by both federal and state government agencies relating to the healthcare
industry, including the hospital segment. The ongoing investigations relate to
various referral, cost reporting, and billing practices, laboratory and home
healthcare services, and physician ownership and joint ventures involving
hospitals.

In the future, different interpretations or enforcement of these laws and
regulations could subject our current practices to allegations of impropriety or
illegality or could require us to make changes in our facilities, equipment,
personnel, services, capital expenditure programs, and operating expenses.

A SHORTAGE OF QUALIFIED NURSES COULD LIMIT OUR ABILITY TO GROW AND DELIVER
HOSPITAL HEALTHCARE SERVICES IN A COST-EFFECTIVE MANNER.

Hospitals are currently experiencing a shortage of nursing professionals, a
trend which we expect to continue for some time. If the supply of qualified
nurses declines in the markets in which our hospitals operate, it may result in
increased labor expenses and lower operating margins at those hospitals. In
2003, for example, our contract labor expense as a percentage of net operating
revenue increased 0.5% primarily as a result of the additional use of
nursing-related contract labor. In addition, in some markets like California,
there are requirements to maintain specified nurse-staffing levels. To the
extent we cannot meet those levels, the healthcare services that we provide in
these markets may be reduced.

IF WE BECOME SUBJECT TO SIGNIFICANT LEGAL ACTIONS, WE COULD BE SUBJECT TO
SUBSTANTIAL UNINSURED LIABILITIES OR INCREASED INSURANCE COSTS.

In recent years, physicians, hospitals, and other healthcare providers have
become subject to an increasing number of legal actions alleging malpractice,
product liability, or related legal theories. Many of these actions involve
large claims and significant defense costs. To protect us from the cost of these
claims, we generally maintain professional malpractice liability insurance and
general liability insurance coverage in amounts and with deductibles that we
believe to be appropriate for our operations. However, our insurance coverage
may not cover all claims against us or may not continue to be available at a
reasonable cost for us to maintain adequate levels of insurance. The cost of
malpractice and other liability insurance increased in 2002 by 0.7%, in 2003 by
0.4%, and decreased in 2004 by 0.2% and decreased by 0.1% for the nine months
ended September 30, 2005 of net operating revenue. If these costs rise rapidly,
our profitability could decline. For a further discussion of our insurance
coverage, see our discussion of professional liability insurance claims in
"Management's discussion and analysis of financial condition and results of
operations."

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