X0306 4 2012-08-17 0001045829 VANGUARD HEALTH SYSTEMS INC VHS 0000905201 MARTIN CHARLES N JR 20 BURTON HILLS BOULEVARD SUITE 100 NASHVILLE TN 37215 1 1 0 1 Chairman & CEO Member of 10% owner group Common Stock 2012-08-17 4 A 0 252694 0 A 3517100 D Common Stock 154892 I By Charles N. Martin, Jr., 2012 Irrevocable Grantor Retained Annuity Trust Common Stock 62471 I By Charles N. Martin, Jr., 2011 Irrevocable Grantor Retained Annuity Trust Common Stock 79091 I By Martin Children's Irrevocable Trust Represents common stock underlying 252,694 restricted stock units earned by the reporting person based on actual performance with respect to awards made on 09/20/2011. The restricted stock units shall vest in four equal installments on 09/01/2012, 09/01/2013, 09/01/2014 and 09/01/2015 (or earlier upon a change of control). /s/ James H. Spalding, Attorney-in-Fact 2012-08-21