Granite City Hospital S-4 Registration of securities issued in business combination transactions

Exhibit 3.368

State of Delaware

Secretary of State

Division of Corporations

Delivered 11:06 AM 12/17/2007

FILED 10:57 AM 12/17/2007

SRV 071328285 – 4474773 FILE

STATEof DELAWARE

LIMITED LIABILITY COMPANY

CERTIFICATEof FORMATION

•	First: The name of the limited liability company is	QHG of Fort Wayne Company, LLC
			.
•	Second: The address of its registered office in the State of Delaware is2711 Centerville Road, Suite 400 in the City ofWilmington (New Castle County). The name of its Registered agent at such address isCorporation Service Company
			.
•	Third:(Use this paragraph only if the company is to have a specific effective date of dissolution.) “The latest date on which the limited liability company is to dissolve is                                        .”
•	Fourth:(Insert any other matters the members determine to include herein.)

In Witness Whereof, the undersigned have executed this Certificate of Formation ofQHG of Fort Wayne Company, LLC this17 day ofDecember, 2007.

BY:	/s/ Robin J. Keck
	Authorized Person(s)
NAME:	Robin J. Keck, Organizer
	Type or Print

State of Delaware

Secretary of State

Division of Corporations

Delivered 11:10 AM 12/28/2007

FILED 10:57 AM 12/28/2007

SRV 071370052 – 4474773 FILE

CERTIFICATE OF MERGER

MERGING

QHG OF FORT WAYNE, INC.

WITH AND INTO

QHG OF FORT WAYNE COMPANY, LLC

The undersigned limited liability company, formed and existing under and by virtue of the Delaware Limited Liability Company Act, 6Del.C. §§ 18-101etseq., does hereby certify that:

FIRST: The name and jurisdiction of formation or organization of each of the constituent entities in the merger are as follows:

Name	Jurisdiction of Formation or Organization
QHG of Fort Wayne, Inc.	Indiana
QHG of Fort Wayne Company, LLC	Delaware

SECOND: An Agreement and Plan of Merger between the parties to the merger has been approved and executed by each of the constituent entities in accordance with the requirements of applicable law.

THIRD: The name of the surviving limited liability company is QHG of Fort Wayne Company, LLC.

FOURTH: This Certificate of Merger, and the merger referenced herein, shall be effective as of 11:59 p.m. on December 31, 2007.

FIFTH: The executed Agreement and Plan of Merger is on file at a place of business of the surviving limited liability company. The address of such place of business of the surviving limited liability company is 4000 Meridian Blvd., Franklin, TN 37067.

SIXTH: A copy of the Agreement and Plan of Merger will be furnished by the surviving limited liability company, on request and without cost, to any stockholder or member of, or any other person holding an interest in, either of the constituent entities in the merger.

[Signature Page Follows]

IN WITNESS WHEREOF, the surviving limited liability company has caused this Certificate of Merger to be duly executed in its name this 27^th day of December, 2007.

QHG OF FORT WAYNE COMPANY, LLC
By:	/s/ Rachel A. Seifert
	Name:	Rachel A. Seifert
	Title:	Senior Vice President and Secretary
		Authorized Person