Bourbon Community Hospital S-4 Registration of securities issued in business combination transactions

Exhibit 3.53

Delaware	PAGE 1
The First State

     I, JEFFREY W. BULLOCK, SECRETARY OFSTATE OFTHE STATE OFDELAWARE, DOHEREBY CERTIFY THE ATTACHED ARE TRUE ANDCORRECT COPIES OFALL DOCUMENTS ONFILE OF“CASTLEVIEW MEDICAL, LLC” AS RECEIVED ANDFILED IN THIS OFFICE.

     THE FOLLOWING DOCUMENTS HAVE BEEN CERTIFIED:

     CERTIFICATE OFFORMATION, FILED THE THIRD DAY OFFEBRUARY, A. D.1999,AT9O’CLOCK A.M.

     CERTIFICATE OFMERGER, FILED THE TWENTY-FIRST DAY OFAPRIL, A. D.1999,AT 4:40 O’CLOCK P.M.

     CERTIFICATE OFAMENDMENT, FILED THE TWENTY-SECOND DAY OFJANUARY, A. D. 2002, AT 10 O’CLOCK A.M.

     AND I DOHEREBY FURTHER CERTIFY THAT THE AFORESAID CERTIFICATES ARE THE ONLY CERTIFICATES ONRECORD OFTHE AFORESAID LIMITED LIABILITY COMPANY, “CASTLEVIEW MEDICAL, LLC”.

3000895     8100H		/s/ Jeffrey W. Bullock
110292310 You may verify this certificate online at corp. delaware.gov/authver.shtml		Jeffrey W. Bullock, Secretary of State AUTHENTICATION: 8619861 DATE: 03-14-11

STATE OFDELAWARE     
SECRETARY OFSTATE     
DIVISION OFCORPORATIONS
FILED 09: 00AM 02/03/1999 
991044440 -3000895     

CERTIFICATE OF FORMATION
OF
CASTLEVIEW MEDICAL, LLC

Under Section 18-201 of the
Delaware Limited Liability Company Act

          FIRST: The name of the limited liability company is Castleview Medical, LLC (the “Company”).

          SECOND: The address of the registered office of the Company in the State of Delaware is 1013 Centre Road, Wilmington. Delaware 19805.

          THIRD: The name and address of the Company’s registered agent for service of process is Corporation Service Company, 1013 Centre Road, Wilmington, Delaware 19805.

          IN WITNESS WHEREOF, the undersigned has executed this Certificate of Formation as of February 3, 1999.

By:	/s/ John M. Frank II
	Name:	John M. Frank II
	Title:	Authorized Person

STATE OFDELAWARE     
SECRETARY OFSTATE     
DIVISION OFCORPORATIONS
FILED 04: 40PM 04/21/1999 
991158058 -3000895     

CERTIFICATE OF MERGER

OF

CASTLEVIEW MERGER CORP.

INTO

CASTLEVIEW MEDICAL, LLC

Pursuant to Section 18-209
of the Delaware Limited Liability Company Act
and Section 264 of the Delaware General Corporation Law

          The undersigned limited liability company and corporation DO HEREBY CERTIFY:

          FIRST: The name and the state of organization of each of the constituent entities to the merger are as follows:

Name	State of Formation or Organization
Castleview Medical, LLC (the “LLC”)	Delaware
Castleview Merger Corp. (the “Company”)	Delaware

          SECOND: An Agreement and Plan of Merger between the constituent entities to the merger (the “Merger Agreement”) has been adopted, approved, certified, executed and acknowledged by each of the constituent entities to the merger.

          THIRD: The Company shall be merged with and into the LLC, with the LLC being the surviving entity (the “Surviving Entity”) in the merger, and the name of the Surviving Entity shall be Castleview Medical, LLC.

          FOURTH: The Certificate of Formation of the LLC at the effective time of the merger shall be the Certificate of Formation of the Surviving Entity.

          FIFTH: The executed Merger Agreement is on file at the principal place of business of the Surviving Entity. The address of the Surviving Entity is One Park Plaza, Nashville, Tennessee 37203.

          SIXTH: A copy of the Merger Agreement will be furnished by the Surviving Entity, on request and without cost, to any shareholder or member, as the case may be, of the constituent entities.

          SEVENTH: This Certificate of Merger shall be effective on April 21, 1999.

*****

2

          IN WITNESS WHEREOF, this Certificate of Merger has been executed on this 20thday of April, 1999.

CASTLEVIEW MEDICAL, LLC
By:	/s/ John M. Franck II
	Name:	John M. Franck II
	Title:	Manager
CASTLEVIEW MERGER CORP.
By:	/s/ R. Milton Johnson
	Name: R. Milton Johnson
	Title: Vice President

3

CERTIFICATE OF AMENDMENT

OF

Castleview Medical, LLC

     1. The name of the limited liability company is Castleview Medical, LLC

     2. The Certificate of Formation of the limited liability company is hereby amended as follows:

The name and address of the registered agent is The Corporation Trust Company Corporation Trust Center, 1209 Orange Street, Wilmington, Delaware 19801.

     IN WITNESS WHEREOF, the undersigned has executed this Certificate of Amendment of Castleview Medical, LLC this 15 day of January, 2002.

Castleview Medical, LLC
 

/s/ William F. Carpenter III  

William F. Carpenter III 

Title Manager  

     STATE OFDELAWARE
     SECRETARY OFSTA’TE
DIVISION OFCORPORATIONS
 FILED 10: 00AM 01/22/2002
     020040870 -3000895