Medcath (MDTH) 10-K 2005 FY Annual report

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 Annual Report of MedCath Corporation (the “Company”) on Form 10-K for the period ended September 30, 2005 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, John T. Casey, Chairman of the Board 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 to the best of my knowledge:

     (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 results of operations of the Company.

	/s/ JOHN T. CASEY
	John T. Casey
	Chairman of the Board and Chief Executive Officer
Date: December 13, 2005