exv3w381

Exhibit 3.381



Corporations Section P.O. Box 13697 Austin, Texas 78711-3697				Hope Andrade Secretary of State

Office of the Secretary of State

The undersigned, as Secretary of State of Texas, does hereby certify that the attached is a true and correct copy of each document on file in this office as described below:

TEXAS SPECIALTY PHYSICIANS
Filing Number: 800968433


Certificate of Formation		April 22, 2008
Certificate of Assumed Business Name		August 17, 2009
Certificate of Assumed Business Name		August 17, 2009
Certificate of Assumed Business Name		August 17, 2009
Certificate of Assumed Business Name		November 30, 2009
Change of Name or Address by Registered Agent		April 19, 2010

In testimony whereof, I have hereunto signed my name officially and caused to be impressed hereon the Seal of State at my office in Austin, Texas on March 11, 2011.


		Hope Andrade Secretary of State



	Come visit us on the internet at http://www.sos.state.tx.us/
Phone: (512) 463-5555	Fax: (512) 463-5709	Dial: 7-1-1 for Relay Services
Prepared by: SOS-WEB	TID: 10266	Document: 358900740015

FILED
In the Office of the
Secretary of State of Texas
APR 22 2008

Corporations Section

Certificate of Formation
of
Texas Specialty Physicians

Article 1
Entity Name and Type

The filing entity being formed is a nonprofit corporation (“Corporation”). The name of the entity is:

Texas Specialty Physicians

Article 2
Registered Agent and Registered Office

The initial registered agent is an organization by the name of C. T. Corporation. The business address of the registered agent and the registered office address is 350 N. Paul Street, Dallas, TX 75201.

Article 3
Management

The management of the affairs of the Corporation is vested in the board of directors. The number of directors constituting the initial board of directors is three (3) and the names and addresses of the persons who are to serve as directors until their successors are elected and qualified are as follows:


Kenneth L. Russell, M.D.		514 S. Bonham, Suite J Mexia, Texas 76667

Jerry W. Simmons, M.D.		514 S. Bonham, Suite H Mexia, Texas 76667

Yong U. Chin, M.D.		514 S. Bonham, Suite G Mexia, Texas 76667

Certificate of Formation
Texas Specialty Physicians

Page 1 of 2

Article 4
Purpose

The Corporation is formed for any and all of the following purposes:

	(1)		carrying out research in the public interest in medical science, medical economics, public health, sociology, or a related field;

	(2)		supporting medical education in medical schools through grants or scholarships;

	(3)		developing the capabilities of individuals or institutions studying, teaching, or practicing medicine, including podiatric medicine;

	(4)		delivering health care to the public; or

	(5)		instructing the public regarding medical science, public health, hygiene, or a related matter.

Article 5
Manner of Distribution

Upon the dissolution of the Corporation, after payment or provision for payment of the Corporation’s liabilities has been made, the Corporation’s remaining assets shall not be transferred to private ownership, but shall be distributed exclusively to its Member.

Organizer

The name and address of the organizer is:


David W. Hilgers		111 Congress Avenue, Suite 1400 Austin, Texas 78701

Effectiveness of Filing

This document becomes effective when the document is filed by the Secretary of State.

Execution

The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument.

Dated this 22nd day of April, 2008.


	Organizer:
	/s/ David W. Hilgers
	David W. Hilgers

Certificate of formation
Texas Specialty Physicians

Page 2 of 2


Form 503 (Revised 4/09) Return in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512 463-5709 Filing Fee: $25		Assumed Name Certificate		This space reserved for office use. FILED In the Office of the Secretary of State of Texas AUG 17 2009 Corporations Section

Assumed Name

1. The assumed name under which the business or professional service is, or is to be, conducted or rendered is: Andre Thomas, MD Orthopaedics and Sports Medicine

Entity Information

2. The legal name of the entity filing the assumed name is:

Texas Specialty Physicians

State the name of the entity as currently shown in the records of the secretary of state or on its organizational documents, if not filed with the secretary of state.

3. The entity filing the assumed name is a: (Select the appropriate entity type below.)


o For-profit Corporation		o Professional Corporation
þ Nonprofit Corporation		o Professional Association
o Cooperative Association		o Limited Partnership
o Limited Liability Company		o Limited Liability Partnership
o Other

Specify type of entity if there is no check box applicable For example, bank, insurance company, etc.

4. The file number, if any, issued to the entity by the secretary of state is: 800968433

5. The state, country, or other jurisdiction of formation of the entity is: Texas

6. The office address of the entity in its jurisdiction of formation is:

350 N. Saint Paul Street, Dallas, TX 75201-4201

(Complete item 7 only when the entity is required by law to maintain a registered agent/registered office in Texas.

An entity required to complete item 7, does not complete item 8. See instructions.)

7a. The address of its registered office in Texas is:

350 N. Saint Paul Street, Dallas, TX 75201-4201

7b. The name of the registered agent at such address is:

CT Corporation System

7c. The address of the principal office of the entity (if not the same as 7a) is:

514 S. Bonham, Suite J, Mexia, TX 76667

(Complete item 8 only if the entity is not required by law to maintain a registered agent/registered office in Texas.
Complete item 8c, only if the entity is not organized under the laws of Texas. See instructions.)

8a. The entity is not required by law to maintain a registered agent/registered office in Texas. Its principal office address in Texas is:

8b. The address of the entity’s principal place of business in Texas (if not the same as 8a) is:

8c. The entity is not organized under the laws of Texas. Its office address outside the state is:

Period of Duration

þ 9a. The period during which the assumed name will be used is 10 years from the date of filing with the secretary of state.

o 9b. The period during which the assumed name will be used is years from the date of filing with the secretary of state (not to exceed 10 years).

o 9c. The assumed name will be used until (not to exceed 10 years).

mm/dd/yyyy

County or Counties in which Assumed Name Used

10. The county or counties where business or professional services are being or are to be conducted or rendered under the assumed name are:

þ All counties


o All counties with the exception of the following counties:


o Only the following counties:

Execution

The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument and also certifies that the person is authorized to sign on behalf of the identified entity. If the undersigned is acting in the capacity of an attorney in fact for the entity, the undersigned certifies that the entity has duly authorized the undersigned in writing to execute this document.

Date: July 7, 2009



	/s/ Mary Kim E. Shipp
	Secretary
	Signature of a person authorized by law to sign on behalf of the identified entity (see instructions)


Form 503 (Revised 4/09) Return in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512 463-5709 Filing Fee: $25		Assumed Name Certificate		This space reserved for office use. FILED In the Office of the Secretary of State of Texas AUG 17 2009 Corporations Section

Assumed Name

1. The assumed name under which the business or professional service is, or is to be, conducted or rendered is: Lee Family Practice

Entity Information

2. The legal name of the entity filing the assumed name is: Texas Specialty Physicians

State the name of the entity as currently shown in the records of the secretary of state or on its organizational documents, if not filed with the secretary of state.

3. The entity filing the assumed name is a: (Select the appropriate entity type below.)


o For-profit Corporation		o Professional Corporation
þ Nonprofit Corporation		o Professional Association
o Cooperative Association		o Limited Partnership
o Limited Liability Company		o Limited Liability Partnership
o Other

Specify type of entity if there is no check box applicable For example, bank, insurance company, etc.

4. The file number, if any, issued to the entity by the secretary of state is: 800968433

5. The state, country, or other jurisdiction of formation of the entity is: Texas

6. The office address of the entity in its jurisdiction of formation is: 350 N. Saint Paul Street, Dallas, TX 75201-4201

(Complete item 7 only when the entity is required by law to maintain a registered agent/registered office in Texas.

An entity required to complete item 7, does not complete item 8. See instructions.)

7a. The address of its registered office in Texas is: 350 N. Saint Paul Street, Dallas, TX 75201-4201

7b. The name of the registered agent at such address is: CT Corporation System

7c. The address of the principal office of the entity (if not the same as 7a) is: 514 S. Bonham, Suite J, Mexia, TX 76667

8a. The entity is not required by law to maintain a registered agent/registered office in Texas. Its principal office address in Texas is:

8b. The address of the entity’s principal place of business in Texas (if not the same as 8a) is:

8c. The entity is not organized under the laws of Texas. Its office address outside the state is:

Period of Duration

þ 9a. The period during which the assumed name will be used is 10 years from the date of filing with the secretary of state.

o 9b. The period during which the assumed name will be used is years from the date of filing with the secretary of state (not to exceed 10 years).

o 9c. The assumed name will be used until (not to exceed 10 years).

mm/dd/yyyy

County or Counties in which Assumed Name Used

10. The county or counties where business or professional services are being or are to be conducted or rendered under the assumed name are:

þ All counties


o All counties with the exception of the following counties:


o Only the following counties:

Execution

Date: June 23, 2009



	/s/ Mary Kim E. Shipp
	Secretary
	Signature of a person authorized by law to sign on behalf of the identified entity (see instructions)


Form 503 (Revised 4/09) Return in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512 463-5709 Filing Fee: $25		Assumed Name Certificate		This space reserved for office use. FILED In the Office of the Secretary of State of Texas AUG 17 2009 Corporations Section

Assumed Name

1. The assumed name under which the business or professional service is, or is to be, conducted or rendered is: Parkview Specialty Clinic

Entity Information

2. The legal name of the entity filing the assumed name is: Texas Specialty Physicians

State the name of the entity as currently shown in the records of the secretary of state or on its organizational documents, if not filed with the secretary of state.

3. The entity filing the assumed name is a: (Select the appropriate entity type below.)


o For-profit Corporation		o Professional Corporation
þ Nonprofit Corporation		o Professional Association
o Cooperative Association		o Limited Partnership
o Limited Liability Company		o Limited Liability Partnership
o Other