Bluefield S-4 Registration of securities issued in business combination transactions

Exhibit 3.192

State of Delaware

Secretary of State

Division of Corporations

Delivered 01:22 PM 12/28/2012

FILED 01:10 PM 12/28/2012

SRV 121401355 - 5267241 FILE

Certificate of Formation

Pursuant to Section 18-201 of the Delaware Limited Liability Company Act:

1. The name of the limited liability company is Health Management General Partner I, LLC (the “Company”).

2. The registered office of the Company in the State of Delaware is Corporation Trust Center, 1209 Orange Street in the city of Wilmington, Delaware 19801 New Castle County. The name of the Registered Agent at such address is The Corporation Trust Company.

3. The effective date of the formation of the limited liability company is December 31, 2012 at 11:54 P.M.

(signature page follows)

S7 II4

IN WITNESS WHEREOF, an authorized person has executed this Certificate of Formation on the28th of December, 2012

Hospital Management Services of Florida, LP Sole Member
By:	/s/ Kathleen K. Holloway
Name:	Kathleen K. Holloway
Title:	Assistant Secretary

S7 II4

2