exv3w291

Exhibit 3.291



		STATE OF TENNESSEE Tre Hargett, Secretary of State Division of Business Services William R. Snodgrass Tower 312 Rosa L. Parks AVE, 6th FL Nashville, TN 37243-1102

CFS
992 DAVIDSON DRIVE
SUITE B
Nashville, TN 37205


Request Type: Certified Copies		Issuance Date: 03/11/2011
Request #: 33911		Copies Requested: 1

Document Receipt


Receipt #: 376939	Filing Fee:	$	20.00
Payment-Account — CFS, NASHVILLE, TN		$	20.00

I, Tre Hargett, Secretary of State of the State of Tennessee, do hereby certify that PHC-TENNESSEE, INC., Control # 370719 was formed or qualified to do business in the State of Tennessee on 05/11/1999. PHC-TENNESSEE, INC. has a home jurisdiction of Williamson County and is currently in an Active status.



		Tre Hargett
		Secretary of State

Processed By: Nichole Hambrick

The attached document(s) was/were filed in this office on the date(s) indicated below:


Reference #	Date Filed	Filing Description
3681-2092	05/11/1999	Initial Filing
3926-0508	06/16/2000	Registered Agent Change (by Agent)
5507-1757	07/14/2005	Registered Agent Change (by Entity)
5775-2452	04/27/2006	2005 Annual Report (Due 04/01/2006)

Phone 615-741-6488 * Fax (615) 741-7310 * Website: http://tnbear.tn.gov/

Page 1 of 1

CHARTER

PHC-TENNESSEE, INC.

The undersigned, an individual, does hereby act as incorporator in adopting the following Charter for the purpose of organizing a corporation for profit, pursuant to the provisions of the Tennessee Business Corporation Act.

FIRST: The corporate name for the corporation (hereinafter called the “Corporation”) is PHC-Tennessee, Inc.

SECOND: The number of shares which the Corporation is authorized to issue is One Thousand (1,000), all of which are of a par value of $.01 dollars each and are of the same class and are to be Common shares.

THIRD: The street address and zip code of the initial registered office of the Corporation in the State of Tennessee is 1912 Hayes Street, Nashville, TN 37203, county of Davidson. The name of the initial registered agent of the Corporation at the said registered office is National Registered Agents, Inc.

FOURTH: The name and the address and zip code of the incorporator are:


NAME		ADDRESS
Howard T. Wall		105 Westwood Place, Ste. 400 Brentwood, TN 37027

FIFTH: The street address and zip code of the initial principal office of the Corporation are 105 Westwood Place, Ste. 400, Brentwood, TN 37027.

SIXTH: No holder of any of the shares of any class of the Corporation shall be entitled as of right to subscribe for, purchase, or otherwise acquire any shares of any class of the corporation which the corporation proposes to issue or any rights or options which the corporation proposes to grant for the purchase of shares of any class of the Corporation or for the purchase of any shares, bonds, securities, or obligations of the Corporation which are convertible into or exchangeable for, or which carry any rights, to subscribe for, purchase, or otherwise acquire shares of any class of the Corporation; and any and all of such shares, bonds, securities, or obligations of the Corporation, whether now or hereafter authorized or created, may be issued, or may be reissued if the same have been reacquired and if their reissue is not prohibited, and any and all of such rights and options may be granted by the Board of Directors to such individuals and entities, and for such lawful consideration, and on such terms, as the Board of Directors in its discretion may determine, without first offering the same, or any thereof, to any said holder.

SEVENTH: The corporation is for profit.

EIGHTH: The purposes for which the corporation is organized are as follows:

To engage in any lawful business. To have all of the general powers granted to Corporations organized under the Tennessee Business Corporation Act whether granted by specific statutory authority or by construction of law.

NINTH: The Corporation shall, to the fullest extent permitted by the provisions of the Tennessee Business Corporation Act, as the same may be amended and supplemented, indemnify any and all persons whom it shall have power to indemnify under said provisions from and against any and all of the expenses, liabilities, or other matters referred to in or covered by said provisions, and the indemnification provided for herein shall not be deemed exclusive of any other rights to which those indemnified may be entitled under any Bylaw, vote of shareholders or disinterested directors, or otherwise, both as to action in his official capacity and as to action in another capacity while holding such office, and shall continue as to a person who has ceased to be a director, officer, employee, or agent and shall inure to the benefit of the heirs, executors, and administrators of such a person.

TENTH: The personal liability of the directors of the Corporation is eliminated to the fullest extent permitted by the provisions of the Tennessee Business Corporation Act, as the same may be amended and supplemented.

ELEVENTH: The duration of the corporation shall be perpetual. Signed on May 11, 1999.



	/s/ Howard T. Wall
	Howard T. Wall, Incorporator


		3926 0508 SECRETARY OF STATE DIVISION OF BUSINESS SERVICES James K. Polk Building, Suite 1800 Nashville, TN 37243-0306

MASS CHANGE OF REGISTERED OFFICE (BY AGENT)

Pursuant to the provisions of Sections 48-15-102 and 48-25-108 off the Tennessee Business Corporation Act, Sections 48-55-102 and 48-85-108 of the Tennessee Nonprofit Corporation Act, Section 48-208-102 of the Tennessee Limited Liability Company Act, Sections 61-2-104 and 61-2-904 of the Tennessee Revised Uniform Limited Partnership Act, and Section 61-1-144 of the Tennessee Uniform Limited Partnership Act, the undersigned registered agent hereby submits this application to change its business address and the registered office address of the businesses noted below:

The names of the affected corporations, limited liability companies, limited partnerships and limited liability partnerships are identified in the attached list by their S.O.S. control numbers, which list is incorporated herein by reference.

The street address of its current registered office is 1912 Hayes Street, Nashville, TN 37203.

The name of the current registered agent is National Registered Agents, Inc.

The street address (including county) of the new registered office is:

1900 Church Street, Suite 400, Nashville, TN 37203

After the change, the street addresses of the registered office and the business office of the registered agent will be identical.

The corporations, limited liability companies, limited partnerships and limited liability partnerships identified in the attached list have been notified of the change of address for the registered office.


June 13, 2000		/s/ Dennis E. Howarth

Signature Date		Signature of Registered Agent Dennis E. Howarth, President

		Printed or Typed Name

3926 D509

MASS CHANGE OF REGISTERED OFFICE (BY AGENT) Attachment


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3926 0510

[ILLEGIBLE]


0384193
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0385154
0385250
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Corporate Filings
312 Eighth Avenue North
6^th Floor, William R. Snodgrass Tower
Nashville, TN 37243

CHANGE OF REGISTERED
AGENT/OFFICE
(BY CORPORATION)

For Office Use Only

Pursuant to the provisions of Section 48-15-102 or 48-25-108 of the Tennessee Business Corporation Act or Section 48-55-102 or 48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application:

1. The name of the corporation is PHC-Tennessee, Inc.

2. The street address of its current registered office is 1900 Church Street, Suite 400, Nashville, TN 37203

3. If the current registered office is to be changed, the street address of the new registered office, the zip code of such office, and the county in which the office is located is 800 S. Gay Street, Suite 2021, Knoxville, TN 37929 (County of Knox)

4. The name of the current registered agent is National Registered Agents, Inc.

5. If the current registered agent is to be changed, the name of the new registered agent is CT Corporation System

6. After the change(s), the street addresses of the registered office and the business office of the registered agent will be identical.


July 1, 2005		PHC-Tennessee, Inc.

Signature Date		Name of Corporation

Assistant Secretary		/s/ Marry Kim E. Shipp

Signer’s Capacity		Signature

		Marry Kim E. Shipp

		Name (typed or printed)



SS-4427(Rev.6/03)	Filing Fee $20.00	RDA1678

[ILLEGIBLE]

CORPORATION ANNUAL REPORT Annual Report Filling Fee Due: $20 it no changes are made in block to the registred agent/office, or $40, if any chagnes are made in block to the registered agent/office Please return completed form to: TENNESSEE SECREATRY OF STATE Attn: Annual Report 312 Elgth Ave. N, 6th Floor William R. Snodgrass Tower Nashville, TN. 37243 CURRENT FISCAL YEAR CLOMN MONTH 12 THIS REPORT IS DUE ON OR BEFORE 04/01/06 STATE OR COUNTRY OF INCORPORATION:

PHC-Tennesee, Inc.
103 Powell Court, Suite 200
Brentwood, Tennessee 37027
(615) 372-8500

Officers:


Thomas M. Weiss		President
William F. Carpenter III		Executive Vice President and Secretary
Michael J. Culotta		Chief Financial Officer
William M. Gracey		Chief Operations Officer
R. Scott Raplee		Senior Vice President
Thomas H. Butler, Jr.		Vice President
Gary D. Willis		Vice President
W. Vail Willis		Vice President
Christopher J. Monte		Vice President
Mary Kim E. Shipp		Assistant Secretary

Directors:

William F. Carpenter III
Michael J. Culotta

Mailing Address for all Officers and Directors:

103 Powell Court, Suite 200
Brentwood, TN 37027