Exhibit 99.4
                                                                    ------------

                              TRIAD HOSPITALS, INC.

                                OFFER TO EXCHANGE

                                       Its
                      8 3/4% Series B Senior Notes due 2009
                             for any and all of its
                          8 3/4% Senior Notes due 2009

To Brokers, Dealers, Commercial
Banks, Trust Companies and
Other Nominees:

                  We are enclosing herewith an offer by Triad Hospitals, Inc., a
Delaware corporation (the "Company"), to exchange its 8 3/4% Series B Senior
Notes due 2009 (the "Exchange Notes") for any and all of its outstanding 8 3/4%
Senior Notes due 2009 (the "Old Notes"), upon the terms and subject to the
conditions set forth in the accompanying Prospectus, dated ____, 2001 (the
"Prospectus"), and related Letter of Transmittal (which together with the
Prospectus constitutes the "Exchange Offer").

                  The Exchange Offer provides a procedure for holders to tender
the Old Notes by means of guaranteed delivery. See the discussion in the
Prospectus under "The Exchange Offer--Procedures for Tendering."

                  The Exchange Offer will expire at 5:00 p.m., New York City
time, on ____, 2001, unless extended (the "Expiration Date"). Tendered Old Notes
may be withdrawn at any time prior to 5:00 p.m., New York City time, on the
Expiration Date.

                  Based on an interpretation by the staff of the Securities and
Exchange Commission, Exchange Notes issued pursuant to the Exchange Offer in
exchange for Old Notes may be offered for resale, resold and otherwise
transferred by holders thereof (other than any such holder which is an
"affiliate" of the Company or the guarantors within the meaning of Rule 405
under the Securities Act or a "broker" or "dealer" registered under the
Securities Exchange Act of 1934, as amended) without compliance with the
registration and prospectus delivery provisions of the Securities Act provided
that such Exchange Notes are acquired in the ordinary course of such holders'
business and such holders have no arrangement with any person to participate in
the distribution of such Exchange Notes. Also, if such holder is a broker-dealer
that acquired Old Notes as a result of market-making or trading activities, the
holder must deliver the Prospectus in connection with any resale of such
Exchange Notes. See the discussion in the Prospectus under "The Exchange
Offer--Purpose and Effect of the Exchange Offer."

                  The Exchange Offer is not conditioned on any minimum principal
amount of Old Notes being tendered.

                  Notwithstanding any other term of the Exchange Offer, the
Company will not be required to accept for exchange, or exchange Exchange Notes
for, any Old Notes not theretofore accepted for exchange and may terminate or
amend the Exchange Offer as provided herein before the acceptance of such Old
Notes, if any of the conditions described in the Prospectus under "The Exchange
Offer--Terms of the Exchange Offer" exist.

                  The Company reserves the right not to accept tendered Old
Notes from any tendering holder if the Company determines, in its sole and
absolute discretion, that such acceptance could result in a violation of
applicable securities laws.

                  For your information and for forwarding to your clients for
whom you hold Old Notes registered in your name or in the name of your nominee,
we are enclosing the following documents:

1. A Prospectus dated ___, 2001.



2. A Letter of Transmittal for your use and for the information of your
clients.

3. A printed form of letter which may be sent to your clients for whose accounts
you hold Old Notes registered in your name or in the name of your nominee, with
space provided for obtaining such clients' instructions with regard to the
Exchange Offer.

4. Guidelines  for  Certification  of Taxpayer  Identification
Number on  Substitute  Form W-9 of the Internal  Revenue  Service (included
in Letter of Transmittal).

                           WE URGE YOU TO CONTACT YOUR
                        CLIENTS AS PROMPTLY AS POSSIBLE.

                  Any inquiries you may have with respect to the Exchange Offer
may be addressed to, and additional copies of the enclosed materials may be
obtained from the Exchange Agent at the following telephone number: [(800)
270-0808].

                                        Very truly yours,

                                        TRIAD HOSPITALS, INC.

NOTHING CONTAINED HEREIN OR IN THE ENCLOSED DOCUMENTS SHALL CONSTITUTE YOU AS
THE AGENT OF THE COMPANY, THE EXCHANGE AGENT OR ANY OTHER PERSON OR AUTHORIZE
YOU OR ANY OTHER PERSON TO USE ANY DOCUMENT OR MAKE ANY STATEMENT ON BEHALF OF
ANY OF THEM IN CONNECTION WITH THE EXCHANGE OFFER OTHER THAN THE DOCUMENTS
ENCLOSED HEREWITH AND THE STATEMENTS CONTAINED THEREIN.