Exhibit 99.4

                               Offer to Exchange
                    9.75% Senior Subordinated Notes Due 2011
                 (Registered under the Securities Act of 1933)
                          for Any and All Outstanding
                    9.75% Senior Subordinated Notes Due 2011
                                       of
                         Vanguard Health Systems, Inc.



                    To Registered Holders and The Depository
                          Trust Company Participants:


     Enclosed are the materials listed below relating to the offer by Vanguard
Health Systems, Inc., a Delaware corporation (the "Company"), to exchange its
9.75% Senior Subordinated Notes Due 2011 (the "New Notes"), pursuant to an
offering registered under the Securities Act of 1933, as amended (the
"Securities Act"), for a like principal amount of its issued and outstanding
9.75% Senior Subordinated Notes Due 2011 (the "Old Notes") upon the terms and
subject to the conditions set forth in the Company's Prospectus, dated [Date of
Prospectus], and the related Letter of Transmittal (which together constitute
the "Exchange Offer").

     Enclosed herewith are copies of the following documents:

     1.  Prospectus dated [Date of Prospectus];

     2.  Letter of Transmittal;

     3.  Notice of Guaranteed Delivery;

     4.  Instruction to Registered Holder and/or Book-Entry Transfer
         Participant from Owner; and

     5.  Letter which may be sent to your clients for whose account you hold
         Old Notes in your name or in the name of your nominee, to accompany
         the instruction form referred to above, for obtaining such client's
         instruction with regard to the Exchange Offer.

     We urge you to contact your clients promptly. Please note that the
Exchange Offer will expire at 5:00 p.m., New York City time, on [Expiration
Date] unless extended.





     The Exchange Offer is not conditioned upon any minimum number of Old Notes
being tendered.

     Pursuant to the Letter of Transmittal, each holder of Old Notes will
represent to the Company that (i) the holder is not an "affiliate" of the
Company, (ii) any New Notes to be received by it are being acquired in the
ordinary course of its business, and (iii) the holder has no arrangement or
understanding with any person to participate, and is not engaged and does not
intend to engage, in a distribution (within the meaning of the Securities Act)
of such New Notes. If the tendering holder is a broker-dealer that will receive
New Notes for its own account in exchange for Old Notes, you will represent on
behalf of such broker-dealer that the Old Notes to be exchanged for the New
Notes were acquired by it as a result of market-making activities or other
trading activities, and acknowledge on behalf of such broker-dealer that it
will deliver a prospectus meeting the requirements of the Securities Act in
connection with any resale of such New Notes. By acknowledging that it will
deliver and by delivering a prospectus meeting the requirements of the
Securities Act in connection with any resale of such New Notes, such
broker-dealer is not deemed to admit that it is an "underwriter" within the
meaning of the Securities Act.

     The enclosed Instruction to Registered Holder and/or Book-Entry Transfer
Participant from Owner contains an authorization by the beneficial owners of
the Old Notes for you to make the foregoing representations.

     The Company will not pay any fee or commission to any broker or dealer or
to any other persons (other than the Exchange Agent) in connection with the
solicitation of tenders of Old Notes pursuant to the Exchange Offer. Holders
who tender their Old Notes for exchange will not be obligated to pay any
transfer taxes in connection therewith, except that holders who instruct the
Company to register New Notes in the name of, or request that Old Notes not
tendered or not accepted in the Exchange Offer be returned to, a person other
than the registered tendering holder will be responsible for the payment of any
applicable transfer tax thereon.

     Additional copies of the enclosed material may be obtained from the
undersigned.

                                        Very truly yours,

                                         BANK ONE TRUST COMPANY, N.A.


NOTHING CONTAINED HEREIN OR IN THE ENCLOSED DOCUMENTS SHALL CONSTITUTE YOU THE
AGENT OF VANGUARD HEALTH SYSTEMS, INC. OR BANK ONE TRUST COMPANY OR AUTHORIZE
YOU TO USE ANY DOCUMENT OR MAKE ANY STATEMENT ON THEIR BEHALF IN CONNECTION
WITH THE EXCHANGE OFFER OTHER THAN THE DOCUMENTS ENCLOSED HEREWITH AND THE
STATEMENTS CONTAINED THEREIN.


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