X0306 4 2013-05-24 1 0001045829 VANGUARD HEALTH SYSTEMS INC VHS 0001521984 CHARLES N. MARTIN, JR., 2011 IRREVOCABLE GRANTOR RETAINED ANNUITY TRUST u/a/d March 15, 2011 20 BURTON HILLS BOULEVARD SUITE 100 NASHVILLE TN 37215 0 0 0 1 Member of 10% owner group Common Stock 2013-05-24 5 G 0 62471 0 D 0 D Upon termination of the trust, all 62,471 shares held by the trust were transferred to the Charles N. Martin, Jr. 2013 Irrevocable Grantor Retained Annuity Trust at the direction of Mr. Martin. /s/ James H. Spalding, Attorney-in-Fact 2013-05-29