Birmingham S-4/A Registration of securities issued in business combination transactions (amended)

Exhibit 3.249

State of Delaware
Secretary of State
Division of Corporations
Delivered 12:05 PM 02/25/2005
FILED 11:43 AM 02/25/2005
SW 050158776 - 3931158 FILE

STATE of DELAWARE

LIMITED LIABILITY COMPANY

CERTIFICATE of FORMATION

• First: The name of the limited Liability company is Deaconess Hospital Holdings, LLC

•Second: The address of its registered office in the State of Delaware is 2711 Centerville Road Suite 400 in the City of Wilmington, DE 19808 . The name of its Registered agent at such address is Corporation 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 this 23^rd day of February 2005.

By: /s/ Paul Gilbert
Authorized Person(s)

Name: Paul Gilbert
Typed or Printed