The Hospital Division provides a wide range of legal services to the Tarrant County Hospital District, a local governmental entity created primarily to provide medical and hospital services to needy residents of Tarrant County. The size of the Division changes depending on the needs of the Hospital District. Currently, two attorneys and two support staff operate the actual Hospital Division of the Criminal District Attorney's office. A number of attorneys in the Civil Division of the office also provide substantial legal services to the Hospital District.

The Hospital District Division provides representation to the hospital district in several areas, including medical malpractice litigation, jail related litigation, risk management issues, collections, lien enforcement, drafting and review of contracts, informed consent issues and issues regarding organ donation and tissue procurement, as well as the Emergency Medical Treatment and Active Labor Act.