0001045829-09-000020 Sample Contracts

EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans • Tennessee

THIS EMPLOYMENT AGREEMENT (this “Agreement”) dated as of December 31, 2008, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Mark R. Montoney, MD (the “Executive”).

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AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 1 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Kent H. Wallace (the “Executive”).

AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 1 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Phillip W. Roe (the “Executive”).

AMENDMENT NO. 1 TO EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 1 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Mark R. Montoney, MD (the “Executive”).

AMENDMENT NO. 4 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 4 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Ronald P. Soltman (the “Executive”).

AMENDMENT NO. 4 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 4 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Keith B. Pitts (the “Executive”).

AMENDMENT NO. 4 TO AMENDED AND RESTATED EMPLOYMENT AGREEMENT
Employment Agreement • September 3rd, 2009 • Vanguard Health Systems Inc • Hospital & medical service plans

This Amendment No. 4 (this “Amendment’) dated as of May 5, 2009, is made by and between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and Charles N. Martin, Jr. (the “Executive”).

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