EXHIBIT 3.247

State of Delaware
Division Secretary of State
Division of Corporations
Delivered 04:51 PM 01/13/2005
FILED 04:51 PM 01/13/2005 SW 050033120 — 3575694 FILE

AMENDED AND RESTATED

CERTIFICATE OF FORMATION

OF

TRI-SHELL 61 LLC

Under Section 18-208 of the

Delaware Limited Liability Company Act

This Amended and Restated Certificate of Formation of Tri-Shell 61 LLC (the “Company”) has been duly executed and is being filed by the undersigned, as an authorized person, in accordance with the provisions of Section 18-208 of the Delaware Limited Liability Company Act, to amend and restate the Certificate of Formation (the “Certificate of Formation”) of the Company, which was filed on October 2, 2002 with the Secretary of State of Delaware.

The Certificate of Formation is hereby amended and restated in its entirety to read as follows:

“FIRST: The name of the Company is Deaconess Holdings, LLC.

SECOND: The address of the registered office of the Company in the State of Delaware is 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, County of New Castle.

THIRD: The name and address of the registered agent for service of process on the Company in the State of Delaware is Corporation Service Company, 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, County of New Castle.”

IN WITNESS WHEREOF, the undersigned has executed this Amended and Restated Certificate of Formation as of January 13, 2005.

By: /s/ Donald P. Fay
Donald P. Fay
Authorized Person