0001045829-05-000033 Sample Contracts

FIRST AMENDMENT TO CREDIT AGREEMENT
Credit Agreement • September 27th, 2005 • Vanguard Health Systems Inc • Hospital & medical service plans • New York

FIRST AMENDMENT TO CREDIT AGREEMENT (this “First Amendment”), dated as of August 15, 2005, among VANGUARD HEALTH HOLDING COMPANY I, LLC, a Delaware limited liability company (“VHS Holdco I”), VANGUARD HEALTH HOLDING COMPANY II, LLC, a Delaware limited liability company (“VHS Holdco II”), VANGUARD HOLDING COMPANY II, INC., a Delaware corporation (the “Co-Borrower” and, together with VHS Holdco II, the “Borrowers” and each, a “Borrower”), the lenders party to the Credit Agreement referred to below from time to time (the “Lenders”) and BANK OF AMERICA, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”). Unless otherwise defined herein, capitalized terms used herein and defined in the Credit Agreement are used herein as therein defined.

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