EXHIBIT 3.5

Delaware

The First State

     I, HARRIET SMITH WINDSOR, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT COPY OF THE CERTIFICATE OF FORMATION OF “CAPITAL MEDICAL CENTER HOLDINGS, LLC”, FILED IN THIS OFFICE ON THE TWENTY-FOURTH DAY OF AUGUST, A.D. 2005, AT 4:03 O’CLOCK P.M.

/s/ Harriett Smith Windsor

Harriet Smith Windsor, Secretary of State

4020383 8100	AUTHENTICATION: 4114782
050699422	Date: 08-25-05

CERTIFICATE OF FORMATION

OF

CAPITAL MEDICAL CENTER HOLDINGS, LLC

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

     FIRST: The name of the limited liability company is Capital Medical Center Holdings, LLC (the “Company”).

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

     IN WITNESS WHEREOF, the undersigned has executed this Certificate of Formation as of August 24, 2005.

By:	/s/ Dora A. Blackwood
	Dora A. Blackwood  Authorised Person

STATE OF DELAWARE
SECRETARY OF STATE
DIVISION OF CORPORATIONS
DELIVERED 04:14 PM 08/24/2005
FILED 04:03 PM 08/24/2005
SRV 050699422 — 4020383 FILE