0001045829-08-000004 Sample Contracts

EMPLOYMENT AGREEMENT
Employment Agreement • February 12th, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans • Tennessee

THIS EMPLOYMENT AGREEMENT (this “Agreement”) dated as of November 15, 2007, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Phillip W. Roe (the “Executive”).

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AMENDMENT NO. 3 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • February 12th, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 3 (this “Amendment’) to Amended and Restated Employment Agreement, dated as of October 1, 2007, but effective as of December 31, 2007 (the “Effective Date”), is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Charles N. Martin, Jr. (the “Executive”).

Form] AMENDMENT NO. 1 TO SEVERANCE PROTECTION AGREEMENT
Severance Protection Agreement • February 12th, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 1 (this “Amendment’) to Severance Protection Agreement, dated as of October 1, 2007, but effective as of the December 31, 2007 (the “Effective Date”), is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and __________ (the “Executive”).

AMENDMENT NO. 4 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • February 12th, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 4 (this “Amendment’) to Amended and Restated Employment Agreement, dated and effective as of November 7, 2007 (the “Effective Date”), is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Joseph D. Moore (the “Executive”).

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