0001045829-05-000035 Sample Contracts

AMENDMENT NO. 1 TO AMENDED AND RESTATED SEVERANCE PROTECTION AGREEMENT
Severance Protection Agreement • September 30th, 2005 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 1 (this “Amendment”), dated as of September 30, 2005, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Kent H. Wallace (the “Executive”).

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AMENDED AND RESTATED SEVERANCE PROTECTION AGREEMENT
Severance Protection Agreement • September 30th, 2005 • Vanguard Health Systems Inc • Hospital & medical service plans • Tennessee

THIS SEVERANCE PROTECTION AGREEMENT(this “Agreement”) dated as of September 23, 2004, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Kent H. Wallace (the “Executive”).

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