EXHIBIT 3.37


                                                     State of Delaware
                                                     Secretary of State
                                                  Division of Corporations
                                                Delivered 01:26 PM 11/24/2003
                                                  FILED 01:26 PM 11/24/2003
                                                SRV 030754911 - 3731784 FILE




                          CERTIFICATE OF INCORPORATION
                                       OF
                            LAKE MEAD HOSPITAL, INC.

      FIRST: The name of the Corporation is Lake Mead Hospital, Inc.
(hereinafter the "Corporation").

      SECOND: The address of the registered office of the Corporation in the
State of Delaware is 1209 Orange Street, in the City of Wilmington, County of
New Castle. The name of its registered agent at that address is The Corporation
Trust Company.

      THIRD: The purpose of the Corporation is to engage in any lawful act or
activity for which a corporation may be organized under the General Corporation
Law of the State of Delaware as set forth in Title 8 of the Delaware Code (the
"GCL").

      FOURTH: The total number of shares of stock which the Corporation shall
have the authority to issue is 1,000 shares of Common Stock, each having a par
value of one penny ($.01).

      FIFTH: The name and mailing address of the Sole Incorporator is as
follows:



      Name                            Address
      ----                            -------
                       
James E. Furr, IV         315 Deaderick Street, Suite 2700
                          Nashville, TN 37238


      SIXTH: The following provisions are inserted for the management of the
business and the conduct of the affairs of the Corporation, and for further
definition, limitation and regulation of the powers of the Corporation and of
its directors and stockholders:

            (1)   The business and affairs of the Corporation shall be managed
                  by or under the direction of the Board of Directors.

            (2)   The directors shall have concurrent power with the
                  stockholders to make, alter, amend, change, add to or repeal
                  the By-Laws of the Corporation.

            (3)   The number of directors of the Corporation shall be as from
                  time to time fixed by, or in the manner provided in, the
                  By-Laws of the Corporation. Election of directors need not be
                  by written ballot unless the By-Laws so provide.

            (4)   No director shall be personally liable to the Corporation or
                  any of its stockholders for monetary damages for breach of
                  fiduciary duty as a director, except for liability (i) for any
                  breach of the director's duty of loyalty to the Corporation or
                  its stockholders, (ii) for acts or omissions not



                  in good faith or which involve intentional misconduct or a
                  knowing violation of law, (iii) pursuant to Section 174 of the
                  GCL or (iv) for any transaction from which the director
                  derived an improper personal benefit. Any repeal or
                  modification of this Article SIXTH by the stockholders of the
                  Corporation shall not adversely affect any right or protection
                  of a director of the Corporation existing at the time of such
                  repeal or modification with respect to acts or omissions
                  occurring prior to such repeal or modification.

            (5)   In addition to the powers and authority hereinbefore or by
                  statute expressly conferred upon them, the directors are
                  hereby empowered to exercise all such powers and do all such
                  acts and things as may be exercised or done by the
                  Corporation, subject, nevertheless, to the provisions of the
                  GCL, this Certificate of Incorporation, and any By-Laws
                  adopted by the stockholders; provided, however, that no
                  By-Laws hereafter adopted by the stockholders shall invalidate
                  any prior act of the directors which would have been valid if
                  such By-Laws had not been adopted.

      SEVENTH: Meetings of stockholders may be held within or without the State
of Delaware as the By-Laws may provide. The books of the Corporation may be kept
(subject to any provisions contained in the GCL) outside the State of Delaware
at such place or places as may be designated from time to time by the Board of
Directors or in the By-Laws of the Corporation

      EIGHTH: The Corporation reserves the right to amend, alter, change or
repeal any provision contained in this Certificate of Incorporation, in the
manner now or hereafter prescribed by statute, and all rights conferred upon
stockholders herein are granted subject to this reservation.

      I, THE UNDERSIGNED, being the Sole Incorporator hereinbefore named, for
the purpose of forming a corporation pursuant to the GCL, do make this
Certificate, hereby declaring and certifying that this is my act and deed and
the facts herein stated are true accordingly have hereunto set my hand this 24th
day of November 2003.

                                       /s/ James E. Furr, IV
                                       -----------------------------------------
                                       James E. Furr, IV, Sole Incorporator