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

Exhibit 3.293

PAGE 1

     I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY THE ATTACHED ARE TRUE AND CORRECT COPIES OF ALL DOCUMENTS ON FILE OF “PINELAKE PHYSICIAN PRACTICE, LLC” AS RECEIVED AND FILED IN THIS OFFICE.

     THE FOLLOWING DOCUMENTS HAVE BEEN CERTIFIED:

     CERTIFICATE OF FORMATION, FILED THE NINETEENTH DAY OF NOVEMBER, A.D. 1998, AT 9 O’CLOCK A.M.

     CERTIFICATE OF AMENDMENT, FILED THE TWENTY-SECOND DAY OF JANUARY, A.D. 2002, AT 10 O’CLOCK A.M.

     AND I DO HEREBY FURTHER CERTIFY THAT THE AFORESAID CERTIFICATES ARE THE ONLY CERTIFICATES ON RECORD OF THE AFORESAID LIMITED LIABILITY COMPANY, “PINELAKE PHYSICIAN PRACTICE, LLC”.

2969137 8100H

110293691

/s/ Jeffrey W. BullockJeffrey W. Bullock, Secretary of State

AUTHENTICATION: 8620755

DATE: 03–14–11

You may verify this certificate online
at corp.delaware.gov/authver.shtml

CERTIFICATE OF FORMATION
OF
PINELAKE PHYSICIAN PRACTICE, LLC

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

          FIRST: The name of the limited liability company PineLake Physician Practice, 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 November 19, 1998.

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

STATE OF DELAWARE

SECRETARY OF STATE

DIVISION OF CORPORATIONS

FILED 09:00AM 11/19/1998

981447607 – 2969137

STATE OF DELAWARE

SECRETARY OF STATE

DIVISION OF CORPORATIONS

FILED 10:00 AM 01/22/2002

020040635 – 2969137

CERTIFICATE OF AMENDMENT

OF

PineLake Physician Practice, LLC

     1. The name of the limited liability company is

               PineLake Physician Practice, 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 PineLake Physician Practice, LLC this 15 day of January, 2002.

PineLake Physician Practice, LLC

/s/ William F. Carpenter IIIWilliam F. Carpenter III,

Manager

        Title