0001045829-08-000017 Sample Contracts

AMENDMENT NO. 5 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • September 23rd, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 5 (this “Amendment’) to Amended and Restated Employment Agreement, dated as of June 30, 2008, but effective as of July 1, 2008 (the “Effective Date”), is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Joseph D. Moore (the “Executive”).

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FORM OF SEVERANCE PROTECTION AGREEMENT
Form of Severance Protection Agreement • September 23rd, 2008 • Vanguard Health Systems Inc • Hospital & medical service plans • Tennessee

THIS SEVERANCE PROTECTION AGREEMENT(this “Agreement”) dated as of ______________, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), ______________________(the “Executive”)

WAIVER NO. 1
Vanguard Health Systems Inc • September 23rd, 2008 • Hospital & medical service plans • Delaware

This Waiver No. 1 (this “Waiver”), dated as of May 22, 2008, to AMENDED AND RESTATED LIMITED LIABILITY COMPANY OPERATING AGREEMENT, dated as of September 23, 2004, as amended by Amendment No 1, dated as of November 3, 2005 (collectively, the "Agreement"), concerning VHS Holdings LLC (the "Company"), a Delaware limited liability company, is entered into by and among the Investor Members (as defined in the Agreement) and the Management Members (as defined in the Agreement).

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