EXHIBIT 5.4


                      [LIONEL SAWYER & COLLINS LETTERHEAD]


                                December 12, 2003






                                                                  (702) 383-8888


Ardent Health Services LLC
Ardent Health Services, Inc.
One Burton Hills Boulevard, Suite 250
Nashville, Tennessee 37215

                  Re:      10% Senior Subordinated Notes due 2013

Ladies and Gentlemen:

                  We refer to the Registration Statement on Form S-1 (File No.
333-110117) (the "Registration Statement") filed by Ardent Health Services LLC,
a Delaware limited liability company (the "Parent"), Ardent Health Services,
Inc., a Delaware corporation (the "Issuer"), and the other subsidiaries of the
Parent named therein as guarantors (collectively, the "Subsidiary Guarantors")
with the Securities and Exchange Commission under the Securities Act of 1933, as
amended (the "Securities Act"), relating to the registration of up to
$225,000,000 principal amount of the Issuer's 10% Senior Subordinated Notes due
2013 (the "Exchange Notes") to be issued in an exchange offer for $225,000,000
principal amount of the Issuer's outstanding 10% Senior Subordinated Notes due
2013 (the "Original Notes"). The Original Notes are, and the Exchange Notes will
be, guaranteed by the Parent and the Subsidiary Guarantors, including BHC Health
Services of Nevada, Inc., a Nevada corporation, and BHC Montevista Hospital,
Inc., a Nevada corporation (collectively, the "Nevada Guarantors"). Original
Notes that are accepted for exchange for Exchange Notes will be cancelled and
retired.

                  The Original Notes were and the Exchange Notes will be issued
pursuant to an Indenture dated as of August 19, 2003 (the "Indenture"), among
the Issuer, the Parent, the Subsidiary Guarantors and U.S. Bank Trust National
Association, N.A., as trustee. The Original Notes were issued and sold on August
19, 2003 to Banc of America Securities LLC, UBS Securities LLC, Banc One Capital
Markets, Inc. and Merrill Lynch, Pierce, Fenner & Smith Incorporated, the
initial purchasers thereof (the "Initial Purchasers"), without registration
under the Securities Act, and were offered and sold by the Initial Purchasers to
qualified institutional buyers in reliance on Rule 144A under the Securities Act
and in transactions outside the United States in reliance on Regulation S under
the Securities Act.





Ardent Health Services LLC
Ardent Health Services, Inc.
December 12, 2003
Page 2


                  In rendering the opinions expressed below, we have examined
and relied upon copies of the Registration Statement, the Indenture and the Form
of Notation of Guarantee (the "Notation of Guarantee") under the Indenture. We
have also examined originals, or copies of originals certified to our
satisfaction, of such agreements, documents, certificates and other statements
of governmental officials and other instruments, and have examined such
questions of law and have satisfied ourselves as to such matters of fact, as we
have considered relevant and necessary as a basis for this opinion. We have
assumed the authenticity of all documents submitted to us as originals, the
genuineness of all signatures, the legal capacity of all natural persons and the
conformity with the original documents of any copies thereof submitted to us for
our examination. We have relied upon the certificates of all public officials
and corporate officers with respect to the accuracy of all matters contained
therein.

                  Based on the foregoing and subject to the qualifications and
limitations set forth below, we are of the opinion that:

                  1. Each of the Nevada Guarantors is duly incorporated and is
validly existing and in good standing under the laws of the State of Nevada.

                  2. Each of the Nevada Guarantors has full corporate right,
power and authority to execute, deliver and perform its obligations under the
Indenture and the Notation of Guarantee.

                  3. The Indenture has been duly authorized, executed and
delivered by each of the Nevada Guarantors.

                  This opinion letter is limited to the laws of the State of
Nevada.

                  Ropes & Gray LLP may rely upon this opinion as if it were
addressed to them.

                  This opinion is intended solely for the use of the addressees
in connection with transactions contemplated by the Indenture. It may not be
relied upon by any other person or for any other purpose, or reproduced or filed
publicly by any person, without the written consent of this firm; provided,
however, we hereby consent to the filing of this opinion letter as an Exhibit to
the Registration Statement and to all references to our firm included in or made
a part of the Registration Statement. In giving such consent, we do not thereby
admit that we are within the category of persons whose consent is required by
Section 7 of the Securities Act or the related Rules promulgated by the
Securities and Exchange Commission.

                                          Very truly yours,

                                          /s/ Lionel Sawyer & Collins

                                          Lionel Sawyer & Collins