<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0101</schemaVersion>

    <submissionType>EFFECT</submissionType>

    <act>33</act>

    <testOrLive>LIVE</testOrLive>

    <effectiveData>
        <finalEffectivenessDispDate>2011-05-04</finalEffectivenessDispDate>
        <finalEffectivenessDispTime>12:00:00</finalEffectivenessDispTime>
        <form>S-4</form>
        <filer>
            <cik>0001307411</cik>
            <entityName>VANGUARD HEALTH HOLDING CO II, LLC</entityName>
            <fileNumber>333-173401</fileNumber>
        </filer>
        <filer>
            <cik>0001161115</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 7 INC</entityName>
            <fileNumber>333-173401-54</fileNumber>
        </filer>
        <filer>
            <cik>0001161116</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 8 INC</entityName>
            <fileNumber>333-173401-53</fileNumber>
        </filer>
        <filer>
            <cik>0001161117</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 9 INC</entityName>
            <fileNumber>333-173401-52</fileNumber>
        </filer>
        <filer>
            <cik>0001161118</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 10 INC</entityName>
            <fileNumber>333-173401-51</fileNumber>
        </filer>
        <filer>
            <cik>0001307400</cik>
            <entityName>VANGUARD HOLDING CO II, INC.</entityName>
            <fileNumber>333-173401-50</fileNumber>
        </filer>
        <filer>
            <cik>0001045829</cik>
            <entityName>VANGUARD HEALTH SYSTEMS INC</entityName>
            <fileNumber>333-173401-49</fileNumber>
        </filer>
        <filer>
            <cik>0001307389</cik>
            <entityName>VANGUARD HEALTH HOLDING CO I, LLC</entityName>
            <fileNumber>333-173401-48</fileNumber>
        </filer>
        <filer>
            <cik>0001484484</cik>
            <entityName>BHS PHYSICIANS ALLIANCE FOR ACE, LLC</entityName>
            <fileNumber>333-173401-47</fileNumber>
        </filer>
        <filer>
            <cik>0001161120</cik>
            <entityName>HOSPITAL DEVELOPMENT OF WEST PHOENIX INC</entityName>
            <fileNumber>333-173401-46</fileNumber>
        </filer>
        <filer>
            <cik>0001484486</cik>
            <entityName>MACNEAL PHYSICIANS GROUP, LLC</entityName>
            <fileNumber>333-173401-45</fileNumber>
        </filer>
        <filer>
            <cik>0001161106</cik>
            <entityName>VANGUARD HEALTH FINANCIAL CO LLC</entityName>
            <fileNumber>333-173401-44</fileNumber>
        </filer>
        <filer>
            <cik>0001161103</cik>
            <entityName>VANGUARD HEALTH MANAGEMENT INC</entityName>
            <fileNumber>333-173401-43</fileNumber>
        </filer>
        <filer>
            <cik>0001161080</cik>
            <entityName>VHS ACQUISITION CORP</entityName>
            <fileNumber>333-173401-42</fileNumber>
        </filer>
        <filer>
            <cik>0001161109</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 1 INC</entityName>
            <fileNumber>333-173401-41</fileNumber>
        </filer>
        <filer>
            <cik>0001161110</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 2 INC</entityName>
            <fileNumber>333-173401-40</fileNumber>
        </filer>
        <filer>
            <cik>0001161113</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 5 INC</entityName>
            <fileNumber>333-173401-39</fileNumber>
        </filer>
        <filer>
            <cik>0001484488</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 11, INC.</entityName>
            <fileNumber>333-173401-38</fileNumber>
        </filer>
        <filer>
            <cik>0001484489</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 12, INC.</entityName>
            <fileNumber>333-173401-37</fileNumber>
        </filer>
        <filer>
            <cik>0001484493</cik>
            <entityName>VHS CHICAGO MARKET PROCUREMENT, LLC</entityName>
            <fileNumber>333-173401-36</fileNumber>
        </filer>
        <filer>
            <cik>0001161101</cik>
            <entityName>VHS GENESIS LABS INC</entityName>
            <fileNumber>333-173401-35</fileNumber>
        </filer>
        <filer>
            <cik>0001161088</cik>
            <entityName>VHS IMAGING CENTERS INC</entityName>
            <fileNumber>333-173401-34</fileNumber>
        </filer>
        <filer>
            <cik>0001161089</cik>
            <entityName>VHS OF ANAHEIM INC</entityName>
            <fileNumber>333-173401-33</fileNumber>
        </filer>
        <filer>
            <cik>0001161083</cik>
            <entityName>VHS OF ARROWHEAD INC</entityName>
            <fileNumber>333-173401-32</fileNumber>
        </filer>
        <filer>
            <cik>0001161092</cik>
            <entityName>VHS OF HUNTINGTON BEACH INC</entityName>
            <fileNumber>333-173401-31</fileNumber>
        </filer>
        <filer>
            <cik>0001161095</cik>
            <entityName>VHS OF ILLINOIS INC</entityName>
            <fileNumber>333-173401-30</fileNumber>
        </filer>
        <filer>
            <cik>0001161090</cik>
            <entityName>VHS OF ORANGE COUNTY INC</entityName>
            <fileNumber>333-173401-29</fileNumber>
        </filer>
        <filer>
            <cik>0001161081</cik>
            <entityName>VHS OF PHOENIX INC</entityName>
            <fileNumber>333-173401-28</fileNumber>
        </filer>
        <filer>
            <cik>0001161085</cik>
            <entityName>VHS OF SOUTH PHOENIX INC</entityName>
            <fileNumber>333-173401-27</fileNumber>
        </filer>
        <filer>
            <cik>0001161082</cik>
            <entityName>VHS OUTPATIENT CLINICS INC</entityName>
            <fileNumber>333-173401-26</fileNumber>
        </filer>
        <filer>
            <cik>0001484495</cik>
            <entityName>BAPTIST MEDICAL MANAGEMENT SERVICES ORGANIZATION, LLC</entityName>
            <fileNumber>333-173401-25</fileNumber>
        </filer>
        <filer>
            <cik>0001161107</cik>
            <entityName>HEALTHCARE COMPLIANCE LLC</entityName>
            <fileNumber>333-173401-24</fileNumber>
        </filer>
        <filer>
            <cik>0001161096</cik>
            <entityName>MACNEAL HEALTH PROVIDERS INC</entityName>
            <fileNumber>333-173401-23</fileNumber>
        </filer>
        <filer>
            <cik>0001161097</cik>
            <entityName>MACNEAL MANAGEMENT SERVICES INC</entityName>
            <fileNumber>333-173401-22</fileNumber>
        </filer>
        <filer>
            <cik>0001161099</cik>
            <entityName>PROS TEMPORARY STAFFING INC</entityName>
            <fileNumber>333-173401-21</fileNumber>
        </filer>
        <filer>
            <cik>0001161100</cik>
            <entityName>WATERMARK PHYSICIAN SERVICES INC</entityName>
            <fileNumber>333-173401-20</fileNumber>
        </filer>
        <filer>
            <cik>0001484494</cik>
            <entityName>VHS SAN ANTONIO PARTNERS, LLC</entityName>
            <fileNumber>333-173401-19</fileNumber>
        </filer>
        <filer>
            <cik>0001484995</cik>
            <entityName>Abrazo Medical Group Urgent Care, LLC</entityName>
            <fileNumber>333-173401-18</fileNumber>
        </filer>
        <filer>
            <cik>0001484996</cik>
            <entityName>Central Texas Corridor Hospital Company, LLC</entityName>
            <fileNumber>333-173401-17</fileNumber>
        </filer>
        <filer>
            <cik>0001161091</cik>
            <entityName>VHS HOLDING CO INC</entityName>
            <fileNumber>333-173401-16</fileNumber>
        </filer>
        <filer>
            <cik>0001510924</cik>
            <entityName>VHS OF MICHIGAN, INC.</entityName>
            <fileNumber>333-173401-15</fileNumber>
        </filer>
        <filer>
            <cik>0001510925</cik>
            <entityName>VHS CHILDREN'S HOSPITAL OF MICHIGAN, INC.</entityName>
            <fileNumber>333-173401-14</fileNumber>
        </filer>
        <filer>
            <cik>0001510926</cik>
            <entityName>VHS DETROIT BUSINESSES, INC.</entityName>
            <fileNumber>333-173401-13</fileNumber>
        </filer>
        <filer>
            <cik>0001510927</cik>
            <entityName>VHS DETROIT RECEIVING HOSPITAL, INC.</entityName>
            <fileNumber>333-173401-12</fileNumber>
        </filer>
        <filer>
            <cik>0001510928</cik>
            <entityName>VHS DETROIT VENTURES, INC.</entityName>
            <fileNumber>333-173401-11</fileNumber>
        </filer>
        <filer>
            <cik>0001510930</cik>
            <entityName>VHS HARPER-HUTZEL HOSPITAL, INC.</entityName>
            <fileNumber>333-173401-10</fileNumber>
        </filer>
        <filer>
            <cik>0001510931</cik>
            <entityName>VHS HURON VALLEY-SINAI HOSPITAL, INC.</entityName>
            <fileNumber>333-173401-09</fileNumber>
        </filer>
        <filer>
            <cik>0001510929</cik>
            <entityName>VHS REHABILITATION INSTITUTE OF MICHIGAN, INC.</entityName>
            <fileNumber>333-173401-08</fileNumber>
        </filer>
        <filer>
            <cik>0001510932</cik>
            <entityName>VHS SINAI-GRACE HOSPITAL, INC.</entityName>
            <fileNumber>333-173401-07</fileNumber>
        </filer>
        <filer>
            <cik>0001510933</cik>
            <entityName>VHS UNIVERSITY LABORATORIES, INC.</entityName>
            <fileNumber>333-173401-06</fileNumber>
        </filer>
        <filer>
            <cik>0001510936</cik>
            <entityName>VHS WESTLAKE HOSPITAL, INC.</entityName>
            <fileNumber>333-173401-05</fileNumber>
        </filer>
        <filer>
            <cik>0001510935</cik>
            <entityName>VHS WEST SUBURBAN MEDICAL CENTER, INC.</entityName>
            <fileNumber>333-173401-04</fileNumber>
        </filer>
        <filer>
            <cik>0001161112</cik>
            <entityName>VHS ACQUISITION SUBSIDIARY NUMBER 4 INC</entityName>
            <fileNumber>333-173401-03</fileNumber>
        </filer>
        <filer>
            <cik>0001510923</cik>
            <entityName>MIDWEST PHARMACIES, INC.</entityName>
            <fileNumber>333-173401-02</fileNumber>
        </filer>
        <filer>
            <cik>0001510934</cik>
            <entityName>VHS ARIZONA HEART INSTITUTE, INC.</entityName>
            <fileNumber>333-173401-01</fileNumber>
        </filer>
    </effectiveData>
</edgarSubmission>
