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    <submissionType>SCHEDULE 13G/A</submissionType>
    <previousAccessionNumber>0000919574-26-001227</previousAccessionNumber>
    <filerInfo>
      <filer>
        <filerCredentials>
          <!-- Field: Pseudo-Tag; ID: Name; Data: CastleKnight Master Fund LP -->
          <cik>0001954661</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <coverPageHeader>
      <amendmentNo>4</amendmentNo>
      <securitiesClassTitle>Common Stock, $0.01 par value</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>03/31/2026</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0001108109</issuerCik>
        <issuerName>COMMUNITY HEALTH SYSTEMS INC</issuerName>
        <issuerCusips>
          <issuerCusipNumber>203668108</issuerCusipNumber>
        </issuerCusips>
        <issuerPrincipalExecutiveOfficeAddress>
          <com:street1>4000 Meridian Boulevard</com:street1>
          <com:city>Franklin</com:city>
          <com:stateOrCountry>TN</com:stateOrCountry>
          <com:zipCode>37067</com:zipCode>
        </issuerPrincipalExecutiveOfficeAddress>
      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(c)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
    </coverPageHeader>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>CastleKnight Master Fund LP</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>E9</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
        <soleDispositivePower>0.00</soleDispositivePower>
        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>12667586.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>9.0</classPercent>
      <typeOfReportingPerson>PN</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>CastleKnight Fund GP LLC</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>DE</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
        <soleDispositivePower>0.00</soleDispositivePower>
        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>12667586.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>9.0</classPercent>
      <typeOfReportingPerson>OO</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>CastleKnight Management LP</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>DE</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
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        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
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    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>CastleKnight Management GP LLC</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>DE</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
        <soleDispositivePower>0.00</soleDispositivePower>
        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>12667586.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>9.0</classPercent>
      <typeOfReportingPerson>OO</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Weitman Capital LLC</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>NJ</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
        <soleDispositivePower>0.00</soleDispositivePower>
        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>12667586.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>9.0</classPercent>
      <typeOfReportingPerson>OO</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Aaron Weitman</reportingPersonName>
      <memberGroup>b</memberGroup>
      <citizenshipOrOrganization>X1</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0.00</soleVotingPower>
        <sharedVotingPower>12667586.00</sharedVotingPower>
        <soleDispositivePower>0.00</soleDispositivePower>
        <sharedDispositivePower>12667586.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>12667586.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>9.0</classPercent>
      <typeOfReportingPerson>HC</typeOfReportingPerson>
      <typeOfReportingPerson>IN</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <items>
      <item1>
        <issuerName>COMMUNITY HEALTH SYSTEMS INC</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>4000 Meridian Boulevard, Franklin, Tennessee 37067</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>CastleKnight Master Fund LP
CastleKnight Fund GP LLC
CastleKnight Management LP
CastleKnight Management GP LLC
Weitman Capital LLC
Aaron Weitman</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>CastleKnight Master Fund LP
Maples Corporate Services Limited
P.O. Box 309
Ugland House
Grand Cayman KY1-1104
Cayman Islands

CastleKnight Fund GP LLC
888 Seventh Avenue, 24th Floor
New York, New York 10019
United States of America

CastleKnight Management LP
888 Seventh Avenue, 24th Floor
New York, New York 10019
United States of America

CastleKnight Management GP LLC
888 Seventh Avenue, 24th Floor
New York, New York 10019
United States of America

Weitman Capital LLC
c/o Aaron Weitman
c/o CastleKnight Management LP
888 Seventh Avenue, 24th Floor
New York, New York 10019
United States of America

Aaron Weitman
c/o CastleKnight Management LP
888 Seventh Avenue, 24th Floor
New York, New York 10019
United States of America</principalBusinessOfficeOrResidenceAddress>
        <citizenship>CastleKnight Master Fund LP - Cayman Islands
CastleKnight Fund GP LLC - Delaware
CastleKnight Management LP - Delaware
CastleKnight Management GP LLC - Delaware
Weitman Capital LLC - New Jersey
Aaron Weitman - United States</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>Y</notApplicableFlag>
      </item3>
      <item4>
        <amountBeneficiallyOwned>CastleKnight Master Fund LP - 12,667,586
CastleKnight Fund GP LLC - 12,667,586
CastleKnight Management LP - 12,667,586
CastleKnight Management GP LLC - 12,667,586
Weitman Capital LLC - 12,667,586
Aaron Weitman - 12,667,586</amountBeneficiallyOwned>
        <classPercent>CastleKnight Master Fund LP - 9.0%
CastleKnight Fund GP LLC - 9.0%
CastleKnight Management LP - 9.0%
CastleKnight Management GP LLC - 9.0%
Weitman Capital LLC - 9.0%
Aaron Weitman - 9.0%</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>CastleKnight Master Fund LP - 0
CastleKnight Fund GP LLC - 0
CastleKnight Management LP - 0
CastleKnight Management GP LLC - 0
Weitman Capital LLC - 0
Aaron Weitman - 0</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>CastleKnight Master Fund LP - 12,667,586
CastleKnight Fund GP LLC - 12,667,586
CastleKnight Management LP - 12,667,586
CastleKnight Management GP LLC - 12,667,586
Weitman Capital LLC - 12,667,586
Aaron Weitman - 12,667,586</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>CastleKnight Master Fund LP - 0
CastleKnight Fund GP LLC - 0
CastleKnight Management LP - 0
CastleKnight Management GP LLC - 0
Weitman Capital LLC - 0
Aaron Weitman - 0</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>CastleKnight Master Fund LP - 12,667,586
CastleKnight Fund GP LLC - 12,667,586
CastleKnight Management LP - 12,667,586
CastleKnight Management GP LLC - 12,667,586
Weitman Capital LLC - 12,667,586
Aaron Weitman - 12,667,586</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>Y</notApplicableFlag>
      </item6>
      <item7>
        <notApplicableFlag>N</notApplicableFlag>
        <subsidiaryIdentificationAndClassification>Please see Exhibit B attached hereto.</subsidiaryIdentificationAndClassification>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>N</notApplicableFlag>
        <certifications>By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under ?? 240.14a-11.</certifications>
      </item10>
    </items>
    <exhibitInfo>[Exhibit A - Joint Filing Agreement]
[Exhibit B - Control Person Identification]</exhibitInfo>
    <signatureInformation>
      <reportingPersonName>CastleKnight Master Fund LP</reportingPersonName>
      <signatureDetails>
        <signature>By: CastleKnight Fund GP LLC, its general partner, By: Weitman Capital LLC, its managing member</signature>
        <title>Aaron Weitman/Manager</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>CastleKnight Fund GP LLC</reportingPersonName>
      <signatureDetails>
        <signature>By: Weitman Capital LLC, its managing member</signature>
        <title>Aaron Weitman/Manager</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>CastleKnight Management LP</reportingPersonName>
      <signatureDetails>
        <signature>By: CastleKnight Management GP LLC, its general partner, By: Weitman Capital LLC, its managing member</signature>
        <title>Aaron Weitman/Manager</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>CastleKnight Management GP LLC</reportingPersonName>
      <signatureDetails>
        <signature>By: Weitman Capital LLC, its managing member</signature>
        <title>Aaron Weitman/Manager</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Weitman Capital LLC</reportingPersonName>
      <signatureDetails>
        <signature>s/ Aaron Weitman</signature>
        <title>Aaron Weitman/Manager</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>Aaron Weitman</reportingPersonName>
      <signatureDetails>
        <signature>/s/ Aaron Weitman</signature>
        <title>Aaron Weitman</title>
        <date>05/15/2026</date>
      </signatureDetails>
    </signatureInformation>
  </formData>

</edgarSubmission>
