Exhibit 3.193

COMMONWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION

LLC-1011 (05/02)

ARTICLES OF ORGANIZATION OF A
DOMESTIC LIMITED LIABILITY COMPANY

Pursuant to Chapter 12 of Title 13.1 of the Code of Virginia the undersigned states as follows

1 The name of the limited liability company is Virginia Hospital Company, LLC

2. A. The name of the limited liability company’s initial registered agent is Corporation Service Company

B The registered agent is (mark appropriate box):

(1) an INDIVIDUAL who is a resident of Virginia and
o a member or manager of the limited liability company.
o an officer or director of a corporation that is a member or manager of the limited liability company
o a general partner of a general or limited partnership that is a member or manager of the limited liability company.
o a trustee of a trust that is a member or manager of the limited liability company.
o a member of the Virginia State Bar.
OR
(2) þ a domestic or foreign stock or nonstock corporation, limited liability company or registered limited liability partnership authorized to transact business in Virginia.

3. The limited liability company’s initial registered office address, which is identical to the business office of the initial registered agent, is: 11 South 12 Street Richmond, VA 23218

which is located in the þ city or o county of Richmond

4 The limited liability company’s principal office is located at
155 Franklin Rd , Suite 400
Brentwood, TN 37027

5. /s/ Robin Joi Keck
Organizer

5/6/03
Date

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Robin Joi Keck
Printed Name

(615) 309-5107
(telephone number optional)

COMMOWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION

May 7, 2003

The State Corporation Commission has found the accompanying articles submitted on behalf of Virginia Hospital Company, LLC

to comply with the requirements of law, and confirms payment of all required fees

Therefore, it is ORDERED that this

CERTIFICATE OF ORGANIZATION

be issued and admitted to record with the articles of organization in the Office of the Clerk of the Commission May 7, 2003.

STATE CORPORATION COMMISSION

By: /s/ (Not legible)
Commissioner

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