X0205 3 2012-04-02 0 0001045829 VANGUARD HEALTH SYSTEMS INC VHS 0001545136 AULT KELVIN M. 20 BURTON HILLS BOULEVARD SUITE 100 NASHVILLE TN 37215 0 1 0 0 SVP-Tax Common Stock 10202 D Employee Stock Option (Right to Buy) 2.80 2015-05-04 Common Stock 20079 D Employee Stock Option (Right to Buy) 2.80 2010-05-04 2015-05-04 Common Stock 20079 D Employee Stock Option (Right to Buy) 33.67 2010-05-04 2015-05-04 Common Stock 17219 D Employee Stock Option (Right to Buy) 2.80 2018-02-05 Common Stock 10427 D Employee Stock Option (Right to Buy) 2.80 2018-02-05 Common Stock 10427 D Employee Stock Option (Right to Buy) 33.67 2018-02-05 Common Stock 8937 D Includes 9,921 shares of the Issuer's common stock underlying restricted stock units that vest in four equal installments on the first, second, third and fourth anniversaries of the grant date (or earlier upon a change of control). This option becomes exercisable upon the earlier of (1) the completion of any of certain designated business events ("liquidity events" related to the return of the Issuer's original equity sponsor, investment funds affiliated with The Blackstone Group, on its invested capital) and (2) 05/04/2013, the eighth anniversary of the date of grant. This option becomes exercisable upon the earlier of (1) the completion of any of certain designated business events ("liquidity events" related to the return of the Issuer's original equity sponsor, investment funds affiliated with The Blackstone Group, on its invested capital) and (2) 02/05/2016, the eighth anniversary of the date of grant. This option becomes exercisable 20% per year on each of the first five anniversaries of the 02/05/2008 grant date of these options (or earlier upon a change of control) beginning on 02/05/2009. EXHIBIT LIST Exhibit 24 - Power of Attorney /s/ James H. Spalding, Attorney-in-Fact 2012-04-12