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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1045829	Vanguard Health Systems Inc	VHS	Hospital & Medical Service Plans (6324)	621698183

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1520040	J. Joseph Mullany	20 Burton Hills Boulevard Suite 100 Nashville TN 37215	Svp-Operations	No	Yes	No	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership
Common Stock	Acquisiton	2012-09-20	17,500	$0.00	65,464	No	4	A	Direct
Common Stock	Disposition	2012-09-20	956	$11.81	64,508	No	4	F	Direct
Common Stock	Acquisiton	2012-09-21	10,427	$2.80	74,935	No	4	M	Direct
Common Stock	Disposition	2012-09-21	10,427	$11.88	64,508	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	A	Direct
No	4	F	Direct
No	4	M	Direct
No	4	S	Direct

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Employee Stock Option (Right to Buy)	Disposition	2012-09-21	10,427	$2.80	10,427	$2.80

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
93,845	2006-09-19	2015-09-19	No	4	M	Direct

Footnotes

Represents common stock underlying 17,500 restricted stock units which shall vest in four equal installments on the first, second, third and fourth anniversaries of the 09/20/2012 grant date (or earlier upon a change of control).
The price shown is the weighted average price for multiple transactions within a price range of $11.82 to $11.94 per share. Upon request, the reporting person will undertake to provide full information regarding the number of shares sold at each separate price.