0000950123-11-006702 Sample Contracts

VANGUARD HEALTH HOLDING COMPANY II, LLC VANGUARD HOLDING COMPANY II, INC. and each of the Guarantors party hereto 7.750% SENIOR NOTES DUE 2019 INDENTURE Dated as of January 26, 2011 U.S. Bank National Association as Trustee
Supplemental Indenture • January 28th, 2011 • Vanguard Health Systems Inc • Hospital & medical service plans • New York

INDENTURE dated as of January 26, 2011 among Vanguard Health Holding Company II, LLC, a Delaware limited liability company (“VHS Holdco II”), Vanguard Holding Company II, Inc., a Delaware corporation and a Wholly-Owned Subsidiary (as defined) of VHS Holdco II (the “Co-Issuer,” and together with VHS Holdco II, the “Issuers”), Vanguard Health Holding Company I, LLC (“VHS Holdco I”), Vanguard Health Systems, Inc. (“Vanguard”), the Subsidiary Guarantors (as defined) and U.S. Bank National Association, a national banking association, as trustee (the “Trustee”).

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REGISTRATION RIGHTS AGREEMENT by and between VANGUARD HEALTH SYSTEMS, INC. and Merrill Lynch, Pierce, Fenner & Smith Incorporated Citigroup Global Markets Inc. Deutsche Bank Securities Inc. Goldman, Sachs & Co. Morgan Stanley & Co. Incorporated Dated...
Registration Rights Agreement • January 28th, 2011 • Vanguard Health Systems Inc • Hospital & medical service plans • New York

This Registration Rights Agreement (this “Agreement”) is made and entered into as of January 26, 2011, by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Issuer”), and Merrill Lynch, Pierce, Fenner & Smith Incorporated and Barclays Capital Inc. on behalf of themselves and as representatives of the several initial purchasers listed on Schedule I hereto (collectively, the “Initial Purchasers”), each of whom has agreed to purchase the Issuer’s 10.375% Senior Discount Notes due 2016 (the “Initial Securities”) pursuant to the Purchase Agreement (as defined below).

REGISTRATION RIGHTS AGREEMENT by and among VANGUARD HEALTH HOLDING COMPANY II, LLC, VANGUARD HOLDING COMPANY II, INC., VANGUARD HEALTH SYSTEMS, INC. and the Other Guarantors Party Hereto and Merrill Lynch, Pierce, Fenner & Smith Incorporated Barclays...
Registration Rights Agreement • January 28th, 2011 • Vanguard Health Systems Inc • Hospital & medical service plans • New York

This Registration Rights Agreement (this “Agreement”) is made and entered into as of January 26, 2011, by and among Vanguard Health Holding Company II, LLC, a Delaware limited liability company (the “Company”), and Vanguard Holding Company II, Inc., a Delaware corporation (together with the Company, the “Companies”), Vanguard Health Systems, Inc., a Delaware corporation (the “Parent”), the other entities listed on the signature pages hereof as “Guarantors” (collectively, the “Guarantors”), and Merrill Lynch, Pierce, Fenner & Smith Incorporated and Barclays Capital Inc. on behalf of themselves and as representatives of the several initial purchasers listed on Schedule I hereto (collectively, the “Initial Purchasers”), each of whom has agreed to purchase the Companies’ 7.750% Senior Notes due 2019 (the “Initial Notes”) fully and unconditionally guaranteed by the Guarantors (the “Guarantees”) pursuant to the Purchase Agreement (as defined below). The Initial Notes and the Guarantees attac

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