Exhibit 3.229

Tom Schedler	State of Louisiana Secretary of State	COMMERCIAL DIVISION 225.925.4704
SECRETARY OF STATE December 3, 2015		Administrative Services 225.932.5317 Fax Corporations 225.932.5314 Fax Uniform Commercial Code 225.932.5318 Fax
The attached document of SAHARA HEALTH SYSTEMS, L.L.C. was received and filed on December 2, 2015.
LC 35562608K

Rev 09/09 Mailing Address: P. O. Box 94125, Baton Rouge, LA70804-9125   Office Location: 8585 Archives Ave., Baton Rouge, LA 70809   Web Site Address: www.sos.la.gov

CERTIFICATE

STATE OF LOUISIANA

PARISH OF LAFAYETTE

Sahara Health Systems, L.L.C. (the “Company”), a Louisiana limited liability company, does hereby submit for filing the attached Amended and Restated Articles of Organization of the Company (the “Articles”):

1. The name of the company is Sahara Health Systems, L.L.C.

2. The Articles are being amended as reflected in the Amended and Restated Articles attached hereto as Exhibit A.

3. This Amended and Restated Articles of Organization of the Company was duly adopted by the sole member of the Company.

Dated: December 2, 2015

SAHARA HEALTH SYSTEMS, L.L.C.
By:	Greenbrier Acquisition, LLC, its sole member
	By:	/s/ Christopher L. Howard
		Christopher L. Howard
		Vice President and Secretary

AMENDED AND RESTATED

ARTICLES OF ORGANIZATION

OF

SAHARA HEALTH SYSTEMS, L.L.C.

Pursuant to the provisions of Title 12, § 1309 if the Limited Liability Company Law of the State of Louisiana, Sahara Health Systems, L.L.C., a Louisiana limited liability company (the “Company”), adopts the following Amended and Restated Articles of Organization (the “Articles”).

ARTICLE I

The name of the limited liability company is Sahara Health Systems, L.L.C. (the “Company”).

ARTICLE II

The purpose of the limited liability company is to engage in any lawful activity for which limited liability companies may be formed under the Louisiana Limited Liability Company Act.

ARTICLE III

The address of the registered office of the Company shall be 3867 Plaza Tower Drive, Baton Rouge, Louisiana 70816-4378. The name of the Company’s initial registered agent is CT Corporation System.

ARTICLE IV

The Company shall be member-managed.

ARTICLE V

The initial principal executive office of the Company shall be 6100 Tower Circle, Suite 1000, Franklin, Tennessee 37067. The county in which the initial principal executive office is located is Williamson County, Tennessee.

ARTICLE VI

At the date of the filing of these Articles, the Company has one (1) member.

[signature on following page]

IN WITNESS WHEREOF, the undersigned has executed these Amended and Restated Articles of Organization on this 2^nd day of December, 2015.

SAHARA HEALTH SYSTEMS, L.L.C.
By:	Greenbrier Acquisition, LLC, its sole member
	By:	/s/ Christopher L. Howard
		Christopher L. Howard
		Vice President and Secretary

Sworn to and subscribed before me, the undersigned Notary Public, on this the 2^nd day of December, 2015.

	/s/ Lauren Foley
.	Notary Public 106300990

AGENT’S AFFIDAVIT AND ACKNOWLEDGEMENT

OF ACCEPTANCE

I hereby acknowledge and accept the appointment of registered agent for and on behalf of the above named limited liability company.

CT Corporation System
By:	/s/ Lisa DuBois
Name:	Lisa DuBois
Its:	Asst. Vice President

Sworn to and subscribed before me, the undersigned Notary Public, on this: 12/2/2015

/s/ Sara Draper Frederick

Notary Signature