0001045829-04-000006 Sample Contracts

AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
Employment Agreement • February 10th, 2004 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 2 (this “Amendment’) dated as of January 1, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Ronald P. Soltman (the “Executive”).

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AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
Employment Agreement • February 10th, 2004 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 2 (this “Amendment’) dated as of January 1, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and W. Lawrence Hough (the “Executive”).

AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
Employment Agreement • February 10th, 2004 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 2 (this “Amendment’) dated as of January 1, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Joseph D. Moore (the “Executive”).

AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
Employment Agreement • February 10th, 2004 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 2 (this “Amendment’) dated as of January 1, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Keith B. Pitts (the “Executive”).

AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
Employment Agreement • February 10th, 2004 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 2 (this “Amendment’) dated as of January 1, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Charles N. Martin, Jr. (the “Executive”).

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