EXHIBIT 21.1

(Except where indicated by a number in parentheses after the name of the subsidiary below, the Company owns 100% of the equity interests in such subsidiary, directly or indirectly)
	Doing Business As
Subsidiaries Incorporated or Organized in the State of Delaware	(If different from corporate name)
Abrazo Medical Group Urgent Care, LLC	Abrazo Health Care
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
Advantage Health Care Management Company, LLC	Abrazo Health Care
	Abrazo Physicians Network
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
BHS Accountable Care, LLC
BHS Integrated Physician Partners, LLC
BHS Physicians Alliance for ACE, LLC
Baptist Medical Management Service Organization, LLC
C7 Technologies, LLC
Central Texas Corridor Hospital Company, LLC	Resolute Health
DMC Shared Savings ACO, LLC
Hospital Development of West Phoenix, Inc.	Abrazo Health Care
	An ER Waiting Room Where You Don’t Wait
	An ER Where You Don’t Wait
	Family Assistance Y Su Clinica
	Healthy Hours
	(The) Heart and Vascular Center at West Valley Hospital
	Life ConneXtion
	Meals To Go
	(The) Orthopedic Institute at West Valley
	Total Joint Prep Class
	Waiting Rooms Where You Don’t Wait
	West Valley Emergency Center
	West Valley Hospital
	West Valley Hospital Wound Care Center
Lakefront Medical Associates, LLC	Lakefront Oncology Associates
	Vanguard Medical Group-Lakefront
MacNeal Medical Records, Inc.

MacNeal Physicians Group, LLC	Vanguard Medical Group
	West Lake Medical Group
	West Suburban Medical Associates
Magnolia Surgery Center Limited Partnership (92%)	Magnolia Surgery Center
Michigan Pioneer ACO, LLC
Resolute Health Family Urgent Care, Inc.	Resolute Health Family Urgent Care
Total Accountable Care Organization, LLC
Valley Baptist Realty Company, LLC
Vanguard Health Financial Company, LLC
Vanguard Health Holding Company I, LLC
Vanguard Health Holding Company II, LLC
Vanguard Health Management, Inc.	Abrazo Health Care
	Family Assistance Y Su Clinica
	Healthcare Compliance
	Healthy Hours
	Life ConneXtion
	Meals To Go
	Tennessee VHM, Inc.
	Trinity MedCare
	Vanguard Ascend
	Vanguard Health Chicago
	Vanguard Tenzing
Vanguard Holding Company I, Inc.
Vanguard Holding Company II, Inc.
Vanguard IT Services, LLC	Hangar9 Solutions
Vanguard Medical Specialists, LLC
Vanguard Physician Services, LLC (60%)
VHS Acquisition Corporation	Abrazo Health Care
	An ER Waiting Room Where You Don’t Wait
	An ER Where You Don’t Wait
	Con Carino
	Healthy Hours
	Family Assistance Y Su Clinica
	Life ConneXtion
	Maryvale Hospital
	Maryvale Hospital Medical Center
	Meals To Go
	Waiting Rooms Where You Don’t Wait
	West Valley Emergency Department
VHS Acquisition Partnership Number 1, L.P.
VHS Acquisition Subsidiary Number 1, Inc.	Abrazo Health Care
	An ER Waiting Room Where You Don’t Wait
	An ER Where You Don’t Wait
	Family Assistance Y Su Clinica
	Healthy Hours

	Life ConneXtion
	Meals To Go
	Paradise Valley Hospital
	Paradise Valley Hospital Outpatient Diabetes Clinic
	Paradise Valley Hospital Rehabilitation, Wound Care
	and Hyperbaric Medicine
	Total Joint Prep Class
	Waiting Rooms Where You Don’t Wait
VHS Acquisition Subsidiary Number 2, Inc.	Abrazo Health Care
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
VHS Acquisition Subsidiary Number 3, Inc. (80.1%)	Chicago Bariatric Institute
	Chicago Center for Orthopedics
	Jacob M. Arvey Health Center at Vanguard Weiss Memorial Hospital
	Louis A. Weiss Memorial Hospital
	Strauss Infusion Center
	Vanguard Chicago Center for Orthopedics
	Vanguard Weiss Memorial Hospital
VHS Acquisition Subsidiary Number 4, Inc.	River Forest Advanced Imaging Center
	River Forest Breast Care Center
	River Forest Breast Care Plex
	River Forest Breast Health Center
	River Forest Campus
	River Forest Cardiovascular Center
	Vanguard River Forest Campus
VHS Acquisition Subsidiary Number 5, Inc.
VHS Acquisition Subsidiary Number 6, Inc.
VHS Acquisition Subsidiary Number 7, Inc.	Medical City Project
	Medical City Project Site
	St. Vincent Hospital at Worcester Medical Center
	Saint Vincent Hospital
	Worcester Medical Center
VHS Acquisition Subsidiary Number 8, Inc.	Abrazo Health Care
	Abrazo Health Clinical & Translational Research Institute
	Abrazo Region Services
	Advantage Health Care Management Company

	Family Assistance Y Su Clinica
	Healthcare Travelers
	Healthy Hours
	Life ConneXtion
	Meals To Go
VHS Acquisition Subsidiary Number 9, Inc.	Leonard Morse Campus
	MetroWest Home Care
	MetroWest Home Care and Hospice
	MetroWest Hospice
	MetroWest Medical Center
	MetroWest Medical Center Answering Service
	MetroWest Medical Center Fitness Circle
	MetroWest Medical Center-Framingham
	MetroWest Medical Center-Framingham Union Campus
	MetroWest Medical Center-Framingham Union Hospital
	MetroWest Medical Center-Leonard Morse Campus
	MetroWest Medical Center-Leonard Morse Hospital
	MetroWest Medical Center-Natick
	MetroWest Medical Center Women’s Imaging
	MetroWest Wellness Center
VHS Acquisition Subsidiary Number 10, Inc.	CareCo
VHS Acquisition Subsidiary Number 11, Inc.	Healthy Hours
	Meals To Go
VHS Acquisition Subsidiary Number 12, Inc.	Healthy Hours
	Meals To Go
VHS Arizona Heart Institute, Inc.	Abrazo Health Care
	Arizona Heart Institute
	Arizona Heart Institute Casa Grande
	Arizona Heart Institute Parkway
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
	VHS Arizona Heart Institute Payson
	VHS Arizona Heart Institute Rehab
VHS Brownsville Hospital Company, LLC	North Brownsville Imaging Center

	Valley Baptist Medical Center-Brownsville
VHS Chicago Market Procurement, LLC	Genesis Labs Procurement Company
	Lakefront Medical Procurement Company
	MacNeal Health Providers Procurement Company
	MacNeal Hospital Procurement Company
	MacNeal Management Services Procurement Company
	River Forest Advanced Imaging Center Procurement Company
	River Forest Breast Care Center Procurement Company
	River Forest Breast Care Plex Procurement Company
	River Forest Breast Health Center Procurement Company
	River Forest Campus Procurement Company
	Weiss Hospital Procurement Company
	West Suburban Medical Center Procurement Company
	Westlake Hospital Procurement Company
VHS Children’s Hospital of Michigan, Inc.	Children’s Hospital of Michigan
	DMC Pharmacy-Children's
	DMC Pharmacy-Stilson Center
	Michigan Adult Congenital Heart Center
	PAF
	Pediatric Associates of Farmington
	Pediatric Associates Physicians of Farmington
	Pediatric Otorhinolaryngology Associates
	Pediatric Otorhinolaryngology Associates of Children’s Hospital
	Premiere Healthcare Services
	Ticker Club
VHS Detroit Businesses, Inc.	DMC Billing Associates, LLC
	DMC Care
	HealthSource
	Metro TPA Services
	Michigan Mobile PET CT
	Total Linen Services
VHS Detroit Receiving Hospital, Inc.	Detroit Receiving Hospital and University Health Center
	Detroit Receiving Hospital, Department of Pharmacy Services
	DMC Pharmacy - Detroit Receiving Hospital

	DMC Pharmacy - Mail Service
VHS Detroit Ventures, Inc.
VHS Genesis Labs, Inc.	Genesis Clinical Laboratory
VHS Harlingen Hospital Company, LLC	Treasure Hills Imaging Center
	Valley Baptist Dialysis Center
	Valley Baptist Medical Center
	Valley Baptist Medical Center Outpatient Rehabilitation
	Valley Baptist Medical Center-Harlingen
	Valley Baptist Raymondville Dialysis Center
VHS Harper-Hutzel Hospital, Inc.	DMC Pharmacy-Harper
	DMC Pharmacy-Hutzel
	DMC Surgery Hospital
	DMC Surgery Hospital, Department of Pharmacy Services
	Harper Hospital
	Harper-Hutzel Home Health
	Harper-Hutzel Hospital
	Harper-Hutzel Hospital, Department of Pharmacy Services
	Harper University Hospital
	Hutzel Women's Hospital
	Kresge Eye Institute
	Senior Support Services
VHS Holding Company, Inc.
VHS Huron Valley-Sinai Hospital, Inc.	DMC Pharmacy-Huron Valley
	Huron Valley-Sinai Home Health
	Huron Valley-Sinai Hospital
	Huron Valley-Sinai Hospital Quick Care
	Huron Valley-Sinai Hospital, Department of Pharmacy Services
	Kreiger Center for Older Adults
	Kreiger Geriatric Center
VHS Imaging Centers, Inc.	Healthy Hours
	Meals To Go
VHS New England Holding Company I, Inc.
VHS of Anaheim, Inc.
VHS of Arrowhead, Inc.	Joy Wellness Connection
	North Peoria Emergency Center
VHS of Huntington Beach, Inc.
VHS of Illinois, Inc.	Berwyn Magnetic Resonance Center
	MacNeal Healthcare
	MacNeal Home Care
	MacNeal Hospital

	MacNeal Hospital-Caring for Generations
	Vanguard-Chicago Market IRB
	Vanguard Home Care
	Vanguard MacNeal Center for Internal Medicine
	Vanguard MacNeal Hospital
VHS of Michigan, Inc.	DMC Triage Nurse Line
	DMC/WSU Community Health Institutes
	DMC-CHC
	Health System of Breakthroughs (The)
	Hospital of Breakthroughs (The)
	Institute of Breakthroughs (The)
	Maisel Women's Health Center
	Medical Center of Breakthroughs (The)
	Rose Imaging Center
	Sinai Berry Surgery Center
	Weisberg Cancer Treatment Center
VHS of Michigan Staffing, Inc.
VHS of Orange County, Inc.
VHS of Phoenix, Inc.	Baptist Women's Hospital
	Center for Arthritis & Joint Replacement
	Heart Center at Phoenix Baptist Hospital (The)
	Phoenix Baptist Family Medicine Center
	Phoenix Baptist Home Health
	Phoenix Baptist Hospital
	Phoenix Women's Hospital
	The Women's Connection
	Wellness Connection
	Women's Center at Phoenix Baptist Hospital
	Women's Hospital at Phoenix Baptist
	Women's Hospital at Phoenix Baptist Hospital
VHS of South Phoenix, Inc.	Abrazo Health Care
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
VHS Outpatient Clinics, Inc.	Abrazo General Surgery Group
	Abrazo Health Care
	Abrazo Medical Group
	Abrazo Medical Group Anthem
	Abrazo Medical Group Arrowhead
	Abrazo Medical Group Cave Creek
	Abrazo Medical Group Denaro Plaza

	Abrazo Medical Group Fountains
	Abrazo Medical Group Goodyear
	Abrazo Medical Group Litchfield
	Abrazo Medical Group Orthopedic Surgery
	Abrazo Medical Group Palm Valley
	Abrazo Medical Group Thunderbird Palms
	Abrazo Specialty Group
	Charles Matlin M.D. General Surgery
	East Baseline Family Medicine Center
	Family Assistance Y Su Clinica
	Healthy Hours
	Life ConneXtion
	Meals To Go
	North Phoenix Family Medicine Center
	Pima Primary Care
	Premier OB/GYN Care
	Union Hills Family Medicine Center
	VHS Family Medicine Specialists
	VHS Maryvale Specialty Groups
	VHS Medical Group
	VHS Valley Surgical Specialists
	VHS West Baseline Family Medicine Center
	Valley Medical Oncology
	West Olive Family Medicine Center
VHS Phoenix Health Plan, LLC	Abrazo Health Care
	Community Connection Health Plan
	Family Assistance Y Su Clinica
	Life ConneXtion
	Phoenix Health Plan
	Phoenix Health Plan Nurse Line
	Smart Choices Clu
VHS Rehabilitation Institute of Michigan, Inc.	Center for Spinal Cord Injury Recovery
	Rehabilitation Institute of Michigan
	Rehabilitation Institute of Michigan Center for Spinal Cord Injury Recovery
	RIM Ann Arbor Center
	RIM at Commerce Medical Center
	RIM at Compuware
	RIM at Crown Pointe
	RIM at Dearborn Center
	RIM at Detroit Athletic Club
	RIM at Franklin Athletic Club
	RIM at Lakes Medical Center
	RIM at Oakland Athletic Club

	RIM at YMCA-Macomb
	RIM Farmington Hills Center
	RIM Grosse Pointe Center
	RIM Madison Heights Center
	RIM Main Campus
	RIM Milford Center
	RIM Northwest Detroit
	RIM Novi Center
	RIM Rochester Hills Center
	RIM Trenton Athletic Club
	RIM Warren Center
	RIM West Bloomfield Center
	RIM Westland Center
	RIM Wixom Center
	Sportsabilities
	Sportsability
VHS San Antonio Imaging Partners, L.P. (50%)	Baptist Breast Center
	Baptist-M&S Imaging Center
	Baptist-M&S Imaging and PET Center
	Baptist-M&S Imaging Oakwell Farms
	Baptist-M&S Imaging Westover Hills
	Baptist M&S Imaging Mission Trail
	Baptist-M&S Northeast Imaging Center
	Baptist-M&S Southeast Imaging Center
	Baptist-M&S North Central Imaging Center
VHS San Antonio Partners, LLC	Baptist Breast Center
	Baptist Cancer Center
	Baptist Cardiovascular Institute
	Baptist Diabetes Treatment Center
	Baptist Health Institute
	Baptist Health System
	Baptist Health System School of Health Professions
	Baptist Hernia Center
	Baptist Medical Center
	Baptist Recovery Center
	BHS Home Health
	Care Connection
	eGuardian
	Healthmaster Services
	Institute of Health Education
	Kidney Stone Center
	Lifeline
	Mission Trail Baptist Hospital

	North Central Baptist Hospital
	Northeast Baptist Hospital
	Southeast Baptist Hospital
	St. Luke’s Baptist Hospital
	Tel-Med
	(The) Wound Healing Center at Baptist Medical Center
VHS Sinai-Grace Hospital, Inc.	DMC Pharmacy-Sinai Lobby
	DMC Pharmacy-Sinai-Grace
	Grace Hospital (The)
	Grace Medical/Pediatric Practice, Inc.
	Histopathology Associates
	Joint Excel
	Joint Plus
	Joint Plus Excel
	Joint Plus Excel Program (The)
	Northwest Internal Medicine Group
	Northwest Obstetrics and Gynecology
	Novi OB/GYN
	Oakland Internists
	Oakland Internists & Associates
	Sinai Functional Recovery Program of Michigan
	Sinai Hospital
	Sinai-Grace Ambulatory Surgery Center
	Sinai-Grace Hospital
	Sinai-Grace Hospital Express Care
	Sinai-Grace Hospital, Department of Pharmacy Services
	West Bloomfield Hospital
VHS Southwest Home Health, LLC
VHS University Laboratories, Inc.	DMC University Laboratories
VHS Valley Health System, LLC (51%)	Valley Baptist Health System
VHS Valley Holdings, LLC
VHS Valley Management Company, Inc.
Vanguard Medical Specialists, LLC
VHS West Suburban Medical Center, Inc.	Center Pharmacy
	West Suburban Medical Center
	Vanguard West Suburban Medical Center
VHS Westlake Hospital, Inc.	(The) Chicago Center for Bariatric Surgery
	Joint Academy
	Westlake Health Associates
	Westlake Hospital

	Vanguard Westlake Hospital
West Suburban Radiation Therapy Center, LLC
Subsidiaries Incorporated or Organized in the State of Arizona
Abrazo Advantage Health Plan, Inc.	Abrazo Advantage Health Plan
	Abrazo Health Care
	Family Assistance Y Su Clinica
	Life ConneXtion
Arizona Health Partners, LLC
Subsidiaries Incorporated or Organized in the State of California
North Anaheim Surgicenter, Ltd. (76%)
Subsidiaries Incorporated or Organized in the Cayman Islands
VHS-Volunteer Insurance Ltd. (formerly, Volunteer Insurance Ltd., discontinued in Bermuda and continued in the Cayman Islands as if it had  been incorporated under the laws of the Cayman Islands, effective April 1, 2011)
DMC Insurance Co., Ltd.
Subsidiaries Incorporated or Organized in the District of Columbia
Healthcare Compliance, LLC
Subsidiaries Incorporated or Organized in the State of Illinois
Chicago Health System ACO, LLC
MacNeal Health Providers, Inc.	Chicago Health System, Inc.
	Physicians Edge PHO
MacNeal Management Services, Inc.
Midwest Pharmacies, Inc.	Plaza Pharmacies
	West Suburban Plaza Pharmacy
	Westlake Medical Arts Pharmacy
New Dimensions, LLC
Primary Care Physicians Center, LLC (94%)
Pros Temporary Staffing, Inc.	Vanguard Hospital Services
	Vanguard Hospital Services Company
Watermark Physician Services, Inc.	Vanguard Physician Support Services
The 6300 West Roosevelt Limited Partnership (50.33%)
Subsidiaries Incorporated or Organized in the State of Massachusetts
Metrowest Accountable Health Care Organization, LLC (50%)
Subsidiaries Incorporated or Organized in the State of Michigan
Southeast Michigan Physicians’ Insurance Company
Novi Regional Imaging, LLC (51%)

DMC Partnership Imaging, LLC (81%)
Michigan Regional Imaging, LLC (70%)
Subsidiaries Incorporated or Organized in the Commonwealth of Pennsylvania
V-II Acquisition Co., Inc.
Subsidiaries Incorporated or Organized in the State of Texas
Heart & Vascular Institute of Texas, Inc.	Arrhythmia Associates of South Texas
	Heart & Vascular Institute of Texas
VB Brownsville IMP ASC, LLC
VBOA ASC GP, LLC
VBOA ASC Partners, L.P. (62%)	North Brownsville Surgery Center
VHS Brownsville LTACH, LLC
Valley Baptist Lab Services, LLC	Community Reference Lab
Valley Baptist Insurance Company (80%)
Valley Baptist Wellness Center, LLC	Valley Baptist Health & Fitness Center