Exhibit 3.407

PAGE 1

     I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY THE ATTACHED ARE TRUE AND CORRECT COPIES OF ALL DOCUMENTS ON FILE OF “WYTHE COUNTY COMMUNITY HOSPITAL, LLC” AS RECEIVED AND FILED IN THIS OFFICE.

     THE FOLLOWING DOCUMENTS HAVE BEEN CERTIFIED:

     CERTIFICATE OF FORMATION, FILED THE SEVENTEENTH DAY OF NOVEMBER, A.D. 2004, AT 4:51 O’CLOCK P.M.

     AND I DO HEREBY FURTHER CERTIFY THAT THE AFORESAID CERTIFICATES ARE THE ONLY CERTIFICATES ON RECORD OF THE AFORESAID LIMITED LIABILITY COMPANY, “WYTHE COUNTY COMMUNITY HOSPITAL, LLC”.

     3882975   8100H

     110293140

You may verify this certificate online
at corp.delaware.gov/authver.shtml      /s/ Jeffrey W. Bullock      
Jeffrey W. Bullock, Secretary of State

AUTHENTICATION:  8620354

                      DATE:  03-14-11

State of Delaware
Secretary of State
Division of Corporations
Delivered 05:17 PM 11/17/2004
FILED 04:51 PM 11/17/2004
SRV 040831014 – 3882975 FILE

CERTIFICATE OF FORMATION

OF

WYTHE COUNTY COMMUNITY HOSPITAL, LLC

     1. The name of the limited liability company is Wythe County Community Hospital, LLC.

     2. The address of its registered office in the State of Delaware is Corporation Trust Center, 1209 Orange Street, in the City of Wilmington, County of New Castle. The name of its registered agent at such address is The Corporation Trust Company.

     IN WITNESS WHEREOF, the undersigned have executed this Certificate of Formation of Wythe County Community Hospital, LLC this 17^th day of November, 2004.

/s/ Mary Kim E. Shipp  

Mary Kim E. Shipp 

Authorized Incorporator