Exhibit 3.253

STATE OF NEVADA

ROSS MILLER
Secretary of State SCOTT W. ANDERSON
Deputy Secretary
for Commercial Recordings

OFFICE OF THE
SECRETARY OF STATE

Certified Copy

March 14, 2011

Job Number:	C20110311-2688
Reference Number:	00003048221-00
Expedite:
Through Date:

The undersigned filing officer hereby certifies that the attached copies are true and exact copies of all requested statements and related subsequent documentation filed with the Secretary of State’s Office, Commercial Recordings Division listed on the attached report.

Document Number(s)	Description	Number of Pages
C10656- 1998-001	Articles of Incorporation	3 Pages/1 Copies
C10656-1998-003	Amendment	1 Pages/1 Copies

Respectfully,

ROSS MILLER
Secretary of State

Certified By: Christine Rakow
Certificate Number: C20110311-2688
You may verify this certificate
online at http://www.nvsos.gov/

Commercial Recording Division
202 N. Carson Street
Carson City, Nevada 89701-4069
Telephone (775) 684-5708
Fax (775) 684-7138

Articles of Incorporation STATE OF NEVADA

P. 2 No.

DEAN HELLER, SECRET OF STATE

IMPORTANT: Read innrocrons on reverse in

TYPE OR PRINT (BLACK INK ONLY) 1. NAME OF CORPORATION:

StreatAdress: 400 W. King

SHAKES:

City

NV 89703

Zip

GOVERNING J30AS& slnBl««jW»*fd«eko«); fccEHtSTWA

Kartin g.

103

105

Articles Of Incorporation
PHC-Elko, Inc.

6. Other Matters: The initial officers of the corporation shall be:

President	Martin S. Rash
Vice President	John M. Rutledge
Vice President, Treasurer	Richard Gore
Vice President & Controller	Brenda Rector
Vice President & Secretary	Howard T. Wall.
Vice President & Asst. Treasurer	Christopher T. Hannon

Address is 105 Westwood Place Ste. 400 Brentwood, TN 37027.

CERTIFICATE OF AMENDMENT OF ARTICLES OF INCORPORATION

(After Issuance of Stock) Filed by:

PHC-Elko, Inc.

Name of Corporation

JUN 05 1998

No. C10656-98

[ILLEGIBLE]

DEAN HELLER, SECRETARY OF STATE

We the undersigned     Richard D. Gore                                                                                                                  and
President or Vice President

Howard T. Wall   Secretary or Assistant Secretary of  PHC-Elko, Inc.   Name of Corporation  do hereby certify:

     That the Board of Directors of said corporation at a meeting duly convened, held on the 2nd day of June, 1998, adopted a resolution to amend the original articles as follows:

     Articles of Incorporation shall be amended to add Article IX which reads as follows:

In the event the Corporation acquires Elko General Hospital in Elko, Nevada, the Corporation shall establish and maintain an Advisory Board for Elko General Hospital or any replacement thereof. This Advisory Board shall consist of persons who represent a broad section of the people to be served by Elko General Hospital or any replacement thereof.

     The number of shares of the corporation outstanding and entitled to vote on an amendment to the Articles of incorporation is _______; that the said change(s) and amendment have been consented to and approved by a majority vote of the stockholders holding at least a majority of each class of stock outstanding and entitled to vote thereon.

/s/ [ILLEGIBLE] President or Vice President

[ILLEGIBLE] Secretary or Assistant Secretary

State of Tennessee	ü ý þ
		ss.
County of Williamson

     On June 2, 1998 personally appeared before me, a Notary Public.

Richard D. Gore and Howard T. Wall

who acknowledged

Names of Persons reporting and Signing Document

that they executed the above instrument.

/s/ [ILLEGIBLE] Signature of Notary

(Notary Stamp or Seal) My Commission Expires JAN 29, 2000