Exhibit 3.45

CERTIFICATE

State of Oregon

OFFICE OF THE SECRETARY OF STATE
Corporation Division

I, KATE BROWN, Secretary of State of Oregon, and Custodian of the Seal of said State, do hereby certify:

That the attached Document File for:

BRIM HOSPITALS, INC.

is a true copy of the original documents
that have been filed with this office.

	In Testimony Whereof, I have hereunto set my hand and affixed hereto the Seal of the State of Oregon.
	KATE BROWN, Secretary of State

By	/s/ Debra L. Virag
	Debra L. Virag
	March 11, 2011

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