EXHIBIT 10.67

FORM OF SEVERANCE PROTECTION AGREEMENT

            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”)

            WHEREAS, the Company considers it essential to the best interests of
its shareholders to foster the continuous employment of key management
personnel;

            WHEREAS, the Board of the Company (the “Board”) recognizes that the
possibility of a Change in Control (as defined in the last Section hereof)
exists and that such possibility, and the uncertainty and questions which it may
raise among management, may result in the departure or distraction of management
personnel to the detriment of the Company and its shareholders; and

            WHEREAS, the Board has determined that appropriate steps should be
taken to reinforce and encourage the continued attention and dedication of
members of the Company’s management, including the Executive, to their assigned
duties without distraction in the face of potentially disturbing circumstances
arising from the possibility of a Change in Control.

            NOW THEREFORE, in consideration of the promises and the mutual
covenants herein contained, the Company and the Executive hereby agree as
follows:

            1.         Defined Terms.  Except for those terms defined above, the
definition of capitalized terms used in this Agreement is provided in the last
Section hereof.

            2.         Term of Agreement.  This Agreement shall commence on the
date hereof and shall continue in effect through December 31, 2008; provided,
however, that commencing on January 1, 2009 and each January 1 thereafter, the
term of this Agreement shall automatically be extended for one additional year
unless, not later than September 30 of the preceding year, the Company shall
have given notice not to extend this Agreement; and provided however, that if a
Change in Control shall have occurred during the term of this Agreement, this
Agreement shall continue in effect for a period of not less than thirty-six (36)
months beyond the month in which such Change in Control occurred.  Furthermore,
if the Executive’s employment with the Company shall be terminated prior to a
Change in Control, this Agreement shall automatically expire.

            3.         Company’s Covenants Summarized.  In order to induce the
Executive to remain in the employ of the Company and in consideration of the
Executive’s covenants set forth in Section 4 hereof, the Company agrees, under
the conditions described herein, to pay the Executive the Severance Payments
described in Section 6.1 hereof and the other payments and benefits described
herein in the event the Executive’s employment with the Company is terminated
following a Change in Control and during the term of this Agreement.  No amount
or benefit shall be payable under this Agreement unless there shall have been
(or, under the terms hereof, there shall be deemed to have been) a termination
of the Executive’s employment with the Company following a Change in Control. 
This Agreement shall not be construed as creating an express or implied contract
of employment and, except as otherwise agreed in writing

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between the Executive and the Company, the Executive shall not have any right to
be retained in the employ of the Company.

            4.         The Executive’s Covenants.  The Executive agrees that,
subject to the terms and conditions of this Agreement, in the event of a
Potential Change in Control during the term of this Agreement, the Executive
will remain in the employ of the Company until the earliest of (i) a date which
is six (6) months from the date of such Potential Change in Control, (ii) the
date of a Change in Control, (iii) the date of termination by the Executive of
the Executive’s employment for Good Reason (determined by treating the Potential
Change in Control as a Change in Control in applying the definition of Good
Reason), or by reason of death, Disability or Retirement, or (iv) the
termination by the Company of the Executive’s employment for any reason.

            5.         Compensation Other Than Severance Payments.

                        5.1       Following a Change in Control and during the
term of this Agreement, during any period that the Executive fails to perform
the Executive’s full-time duties with the Company as a result of incapacity due
to physical or mental illness, the Company shall pay the Executive’s full salary
to the Executive at the rate in effect at the commencement of any such period,
together with all compensation and benefits payable to the Executive under the
terms of any compensation or benefit plan, program or arrangement maintained by
the Company during such period, until the Executive’s employment is terminated
by the Company for Disability.

                        5.2       If the Executive’s employment shall be
terminated for any reason following a Change in Control and during the term of
this Agreement, the Company shall pay the Executive’s full salary to the
Executive through the Date of Termination at the rate in effect at the time the
Notice of Termination is given, together with all compensation and benefits
payable to the Executive through the Date of Termination under the terms of any
compensation or benefit plan, program or arrangement maintained by the Company
during such period.

                        5.3       If the Executive’s employment shall be
terminated for any reason following a Change in Control and during the term of
this Agreement, the Company shall pay to the Executive a lump sum amount, in
cash, equal to the sum of (i) any incentive compensation which has been
allocated or awarded to the Executive for a completed fiscal year or other
measuring period preceding the Date of Termination under any incentive plan but
has not yet been paid (pursuant to Section 5.2 hereof or otherwise), and (ii) a
pro rata portion to the Date of Termination of the value of any contingent
incentive compensation award to the Executive for all uncompleted periods under
the plan for the year (or other measuring period) in which the Date of
Termination occurs calculated by multiplying the target amount the Executive
could have earned under such plan by a fraction, the numerator of which is the
number of full months the Executive was employed by the Company during the
fiscal year of the Company in which the Date of Termination occurs and the
denominator of which is 12.

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                        5.4       If the Executive’s employment shall be
terminated for any reason following a Change in Control and during the term of
this Agreement, the Company shall pay the Executive’s normal post-termination
compensation and benefits to the Executive as such payments become due.  Such
post-termination compensation and benefits shall be determined under, and paid
in accordance with the provisions of, the Company’s compensation or benefit
plans, programs and arrangements.

            6.         Severance Payments.

                        6.1       Subject to Section 6.2 hereof, the Company
shall pay the Executive the payments described in this Section 6.1 (the
“Severance Payments”) upon the termination of the Executive’s employment
following a Change in Control and during the term of this Agreement, in addition
to the payments and benefits described in Section 5 hereof, unless such
termination is (i) by the Company for Cause, (ii) by reason of death, Disability
or Retirement, or (iii) by the Executive without Good Reason.  To be a valid
termination of employment by the Executive under this Agreement for Good Reason,
the date of the actual termination of the Executive’s employment due to any of
the Good Reason acts or conditions set forth in Sections 14.11(a) through
14.11(f) below must occur within a period of two years following the initial
existence of such Good Reason act or condition which arose without the consent
of the Executive.  The Executive’s employment shall be deemed to have been
terminated following a Change in Control by the Company without Cause or by the
Executive with Good Reason if the Executive’s employment is terminated prior to
a Change in Control without Cause at the direction of a Person who (i) has
entered into an agreement with the Company the consummation of which will
constitute a Change in Control or (ii) has caused a Potential Change in Control
to occur, or if the Executive terminates his employment with Good Reason prior
to a Change in Control (determined by treating a Potential Change in Control as
a Change in Control in applying the definition of Good Reason) if the
circumstance or event which constitutes Good Reason occurs at the direction of
such Person.

                                    (a)        In lieu of any further salary
payments to the Executive for periods subsequent to the Date of Termination and
in lieu of any severance benefit otherwise payable to the Executive, the Company
shall pay to the Executive a lump sum severance payment, in cash, equal to
[200%][250%]of the sum of (i) the higher of the Executive’s annual base salary
in effect immediately prior to the occurrence of the event or circumstance upon
which the Notice of Termination is based or in effect immediately prior to the
Change in Control, and (ii) the higher of the target amount which the Executive
could have earned under the Company’s annual incentive plan in the year in which
the Date of Termination occurs or such target amount in the year in which the
Change in Control occurs.

                                    (b)        For an eighteen (18) month period
after the Date of Termination, the Company shall, at its cost (provided that
Executive shall continue to be responsible to pay the standard employee portion
of such cost), arrange to provide the Executive with life, disability, accident,
health and dental insurance benefits substantially similar to those which the
Executive is receiving immediately prior

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to the Notice of Termination (without giving effect to any reduction in such
benefits subsequent to a Change in Control which reduction constitutes Good
Reason).  Benefits otherwise receivable by the Executive pursuant to this
Section 6.1(b) shall be reduced to the extent comparable benefits are actually
received by or made available to the Executive by a new employer of the
Executive without cost during the eighteen (18) month period following the
Executive’s termination of employment (and any such benefits actually received
by the Executive shall be reported to the Company by the Executive).  If the
benefits provided to the Executive under this Section 6.1(b) shall result in a
decrease, pursuant to Section 6.2, in the Severance Payments and these Section
6.1(b) benefits are thereafter reduced pursuant to the immediately preceding
sentence because of the receipt of comparable benefits, the Company shall, at
the time of such reduction, pay to the Executive the lesser of (A) the amount of
the decrease made in the Severance Payments pursuant to Section 6.2, or (B) the
maximum amount which can be paid to the Executive without being, or causing any
other payment to be, nondeductible by reason of Section 280G of the Code.

                        6.2       Notwithstanding any other provisions of this
Agreement (except the provisions of Section 6.5 below), in the event that any
payment or benefit received or to be received by the Executive in connection
with a Change in Control or the termination of the Executive’s employment
(whether pursuant to the terms of this Agreement or any other plan, arrangement
or agreement with the Company, any Person whose actions result in a Change in
Control or any Person affiliated with the Company or such Person) (all such
payments and benefits, including the Severance Payments, being hereinafter
called “Total Payments”) would not be deductible (in whole or part), by the
Company, an affiliate or any Person making such payment or providing such
benefit as a result of Section 280G of the Code, then, to the extent necessary
to make such portion of the Total Payments deductible (and after taking into
account any reduction in the Total Payments provided by reason of Section 280G
of the Code in such other plan, arrangement or agreement), (A) the cash
Severance Payments shall first be reduced (if necessary, to zero), and (B) all
other non-cash Severance Payments shall next be reduced (if necessary, to
zero).  For purposes of this limitation, (i) no portion of the Total Payments
the receipt or enjoyment of which the Executive shall have effectively waived in
writing prior to the Date of Termination shall be taken into account, (ii) no
portion of the Total Payments shall be taken into account which in the opinion
of tax counsel selected by the Company’s independent auditors and reasonably
acceptable to the Executive does not constitute a “parachute payment” within the
meaning of Section 280G(b)(2) of the Code, including by reason of Section
280G(b)(4)(A) of the Code, (iii) the Severance Payments shall be reduced only to
the extent necessary so that the Total Payments (other than those referred to in
clauses (i) or (ii)) in their entirety constitute reasonable compensation for
services actually rendered within the meaning of Section 280G(b)(4)(B) of the
Code or are otherwise not subject to disallowance as deductions, in the opinion
of the tax counsel referred to in clause (ii); and (iv) the value of any
non-cash benefit or any deferred payment or benefit included in the Total
Payments shall be determined by the Company’s independent auditors in accordance
with the principles of Sections 280G(d)(3) and (4) of the Code.

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                        If it is established pursuant to a final determination
of a court or an Internal Revenue Service proceeding that, notwithstanding the
good faith of the Executive and the Company in applying the terms of this
Section 6.2, the aggregate “parachute payments” paid to or for the Executive’s
benefit are in an amount that would result in any portion of such “parachute
payments” not being deductible by reason of Section 280G of the Code, then the
Executive shall have an obligation to pay the Company upon demand an amount
equal to the excess of the aggregate “parachute payments” paid to or for the
Executive’s benefit over the aggregate “parachute payments” that could have been
paid to or for the Executive’s benefit without any portion of such “parachute
payments” not being deductible by reason of Section 280G of the Code.

                        6.3       The payments provided for in Section 6.1
(other than Section 6.1(b)) hereof shall be made not later than the fifth day
following the Date of Termination, provided, however, that if the amounts of
such payments, and the limitation on such payments set forth in Section 6.2
hereof, cannot be finally determined on or before such day, the Company shall
pay to the Executive on such day an estimate, as determined in good faith by the
Company, of the minimum amount of such payments to which the Executive is
clearly entitled and shall pay the remainder of such payments (together with
interest at the rate provided in Section 1274(b)(2)(B) of the Code) as soon as
the amount thereof can be determined but in no event later than the thirtieth
(30th) day after the Date of Termination.  In the event that the amount of the
estimated payments exceeds the amount determined by the Company within six (6)
months after payment to have been due, such excess shall be paid by the
Executive to the Company, no later than the thirtieth (30th) business day after
demand by the Company. At the time that payments are made under this Section,
the Company shall provide the Executive with a written statement setting forth
the manner in which such payments were calculated and the basis for such
calculations including, without limitation, any opinions or other advice the
Company has received from outside counsel, auditors or consultants (and any such
opinions or advice which are in writing shall be attached to the statement).

                        6.4       Following a Change in Control (or a
termination described in the second sentence of Section 6.1), the Company also
shall pay to the Executive all legal fees and related expenses (including costs
of experts, evidence and counsel) incurred by the Executive as a result of any
dispute in connection with a termination of the Executive’s employment, whether
or not such dispute is resolved in the Executive’s favor, but only if the
dispute is pursued by the Executive in good faith (including all such fees and
expenses, if any, incurred in respect of a dispute relating to any such
termination or in the Executive seeking in good faith to obtain or enforce any
benefit or right provided by this Agreement (or by any other plan or arrangement
maintained by the Company under which the Executive is or may be entitled to
receive benefits) or in connection with any tax audit or proceeding to the
extent attributable to the application of Section 4999 of the Code to any
payment or benefit provided hereunder).  Such payments shall be made to the
Executive within five (5) business days after delivery of the Executive’s
written requests for payment accompanied by evidence of fees and expenses
incurred.

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            7.         Termination Procedures and Compensation During Dispute.

                        7.1       Notice of Termination.  After a Change in
Control and during the term of this Agreement, any purported termination of the
Executive’s employment (other than by reason of death) shall be communicated by
written Notice of Termination from one party hereto to the other party hereto in
accordance with Section 10 hereof.  For purposes of this Agreement, a “Notice of
Termination” shall mean a notice which shall indicate the specific termination
provision or provisions in this Agreement relied upon and shall set forth in
reasonable detail the facts and circumstances claimed to provide a basis for
termination of the Executive’s employment under the provision so indicated.  In
respect of a Notice of Termination sent by the Executive as  a result of any of
the Good Reason acts or conditions set forth in Sections 14.11(a) through
14.11(f) below, it  must be sent by the Executive to the Company within 90 days
following the initial existence of such Good Reason act or condition which arose
without the consent of the Executive and if not sent within such 90 days, it
shall not be a valid Notice of Termination.

                        7.2       Date of Termination.  “Date of Termination”,
with respect to any purported termination of the Executive’s employment after a
Change in Control and during the term of this Agreement, shall mean (i) if the
Executive’s employment is terminated for Disability, thirty (30) days after
Notice of Termination is given (provided that the Executive shall not have
returned to the full-time performance of the Executive’s duties during such
thirty (30) day period), and (ii) if the Executive’s employment is terminated
for any other reason, the date specified in the Notice of Termination (which, in
the case of a termination by the Company, shall not be less than thirty (30)
days (except in the case of a termination for Cause) and, in the case of a
termination by the Executive, shall not be less than thirty (30) days nor more
than sixty (60) days, respectively, from the date such Notice of Termination is
given); provided, that in the case of a termination for Cause, nothing herein
shall prevent the Company from immediately terminating the Executive’s
employment, so long as the Company continues to meet all of its responsibilities
hereunder with respect to payment of salary, benefits and other obligations
during the minimum notice period described in this Section 7.2 (and for purposes
of measuring such obligations, the Date of Termination shall be deemed to be the
end of such minimum notice period).

                        7.3       Dispute Concerning Termination.  If within
fifteen (15) days after any Notice of Termination is given, the party receiving
such Notice of Termination notifies the other party that a dispute exists
concerning the termination, the dispute shall be resolved promptly, either by
mutual written agreement of the parties or by a final court judgment or order. 
Any court action brought by a party to this Agreement shall be brought and
maintained in a court of competent jurisdiction in Davidson County, in the State
of Tennessee, and the parties hereto hereby consent to the jurisdiction of such
courts.

                        7.4       Interest After Dispute Settled.  If a
purported termination occurs following a Change in Control and during the term
of this Agreement, and such termination is disputed in accordance with Section
7.3 hereof, then if such dispute is resolved by

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payment to the Executive of any cash payment, the Company shall in addition pay
the Executive interest at 10% per annum on all such cash ultimately paid to the
Executive as a result of settlement of any such dispute from the Date of
Termination.

            8.         No Mitigation.  The Company agrees that, if the
Executive’s employment by the Company is terminated during the term of this
Agreement, the Executive is not required to seek other employment or to attempt
in any way to reduce any amounts payable to the Executive by the Company
pursuant to Section 6.  Further, the amount of any payment or benefit provided
for in Section 6 (other than Section 6.1(b)) shall not be reduced by any
compensation earned by the Executive as the result of employment by another
employer, by retirement benefits, by offset against any amount claimed to be
owed by the Executive to the Company, or otherwise.

            9.         Successors; Binding Agreement.

                        9.1       In addition to any obligations imposed by law
upon any successor to the Company, the Company will require any successor
(whether direct or indirect, by purchase, merger, consolidation or otherwise) to
all or substantially all of the business and/or assets of the Company (the
“Successor”) to expressly assume and agree to perform this Agreement in the same
manner and to the same extent that the Company would be required to perform it
if no such succession had taken place; provided if the Company is acquired by
merger with a subsidiary of a Person, then such Person shall be the Successor
unless such Person principally does its hospital management business in such
subsidiary or in another subsidiary of such Person in which case the subsidiary
principally doing the hospital management company business of the Person shall
be the Successor.  Failure of the Company to obtain such assumption and
agreement prior to the effectiveness of any such succession, after notice by the
Executive to the Company and, if practicable, a reasonable opportunity to cure
such failure, shall be a breach of this Agreement and shall entitle the
Executive to compensation from the Company in the same amount and on the same
terms as the Executive would be entitled to hereunder if the Executive were to
terminate the Executive’s employment for Good Reason after a Change in Control,
except that, for purposes of implementing the foregoing, the date on which any
such succession becomes effective shall be deemed the Date of Termination.

                        9.2       This Agreement shall inure to the benefit of
and be enforceable by the Executive’s personal or legal representatives,
executors, administrators, successors, heirs, distributees, devisees and
legatees.  If the Executive shall die while any amount would still be payable to
the Executive hereunder if the Executive had continued to live, all such
amounts, unless otherwise provided herein, shall be paid in accordance with the
terms of this Agreement to the executors, personal representatives or
administrators of the Executive’s estate.

            10.       Notices.  For the purpose of this Agreement, notices and
all other communications provided for in the Agreement shall be in writing and
shall be deemed to have been duly given when personally delivered or when mailed
by United States certified mail, return receipt requested, postage prepaid,
addressed to the respective addresses set forth below, or to such other

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address as either party may have furnished to the other in writing in accordance
herewith, except that notice of change of address shall be effective only upon
actual receipt:

                        To the Company:

                        Vanguard Health Systems, Inc.
                        20 Burton Hills Boulevard
                        Suite 100
                        Nashville, TN  37215
                        Attention:  Chief Executive Officer

                        with a copy to:

                        VHS Holdings LLC
                        c/o Blackstone Management Associates IV LLC
                        345 Park Avenue
                        New York, NY 10154
                        Attention: Neil Simpkins

                        and a copy to:

                        Simpson Thacher & Bartlett LLP
                        425 Lexington Avenue
                        New York, NY 10017-3954
                        Attention: Brian Robbins

                        To the Executive:

                        ______________
                        ______________
                        ______________

            11.       Miscellaneous.  No provision of this Agreement may be
modified, waived or discharged (collectively a “Waiver”) unless the Waiver is
agreed to in writing and signed by the Executive and an officer of the Company
and sets forth in reasonable detail the facts and circumstances which are the
subject of the Waiver.  No waiver by either party hereto at any time of any
breach by the other party hereto of, or compliance with, any condition or
provision of this Agreement to be performed by such other party shall be deemed
a waiver of similar or dissimilar provisions or conditions at the same or at any
prior or subsequent time.  No agreements or representations, oral or otherwise,
express or implied, with respect to the subject matter hereof have been made by
either party which are not expressly set forth in this Agreement.  The validity,
interpretation, construction and performance of this Agreement shall be governed
by the laws of the State of Tennessee, without regard to such state’s conflict
of laws rules.  All references to sections of the Exchange Act or the Code shall
be deemed also to refer to any successor provisions to such sections.  Any
payments provided for hereunder shall be paid net of any applicable withholding
required under federal, state or local law and any additional

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withholding to which the Executive has agreed.  The obligations of the Company
and the Executive under Sections 6 and 7 shall survive the expiration of the
term of this Agreement.

            12.       Validity.  The invalidity or unenforceability or any
provision of this Agreement shall not affect the validity or enforceability of
any other provision of this Agreement, which shall remain in full force and
effect.

            13.       Counterparts.  This Agreement may be executed in several
counterparts, each of which shall be deemed to be an original but all of which
together will constitute one and the same instrument.

            14.       Definitions.  For purposes of this Agreement, the
following terms shall have the meanings indicated below:

                        14.1     “Beneficial Owner” shall have the meaning
defined in Rule 13d-3 under the Exchange Act.

                        14.2     “Cause” for termination by the Company of the
Executive’s employment, after any Change in Control, shall mean (i) the
conviction of the Executive, by a court of competent jurisdiction and following
the exhaustion of all possible appeals, of a criminal act classified as a felony
or involving moral turpitude, (ii) the willful and continued failure by the
Executive to substantially perform the Executive’s duties with the Company
(other than any such failure resulting from the Executive’s incapacity due to
physical or mental illness or any such actual or anticipated failure after the
issuance of a Notice of Termination for Good Reason by the Executive pursuant to
Section 7.1) after a written demand for substantial performance is delivered to
the Executive by the Company, which demand specifically identifies the manner in
which the Company believes that the Executive has not substantially performed
the Executive’s duties, or (iii) the willful engaging by the Executive in
conduct which is demonstrably and materially injurious to the Company or its
subsidiaries, monetarily or otherwise.  For purposes of clauses (ii) and (iii)
of this definition, no act, or failure to act, on the Executive’s part shall be
deemed “willful” unless done, or omitted to be done, by the Executive not in
good faith and without reasonable belief that the Executive’s act, or failure to
act, was in the best interest of the Company.

                        14.3     “Board” shall mean the Board of Directors of
the Company.

                        14.4     A “Change in Control” shall be deemed to have
occurred if the conditions set forth in any one of the following paragraphs
shall have been satisfied:

                                    (a)        any Person is or becomes the
Beneficial Owner, directly or indirectly, of securities of the Company
representing more than 50% of the combined voting power of the Company’s then
outstanding voting securities; or

                                    (b)        during any period of not more
than two consecutive years (not including any period prior to the execution of
this Agreement), individuals who at the beginning of such period constitute the
Board, and any new director (other

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than a director designated by a Person who has entered into an agreement with
the Company to effect a transaction described in clause (a), (c) or (d) of this
paragraph) whose election by the Board or nomination for election by the
Company’s shareholders was approved by a vote of at least two-thirds (2/3) of
the directors then still in office who either were directors at the beginning of
the period or whose election or nomination for election was previously so
approved, cease for any reason to constitute at least a majority thereof; or

                                    (c)        the shareholders of the Company
approve a merger or consolidation of the Company with any other corporation,
other than both (A) (i) a merger or consolidation which would result in the
voting securities of the Company outstanding immediately prior thereto
continuing, directly or indirectly, to represent (either by remaining
outstanding or by being converted into voting securities of the surviving or
parent entity), 50% or more of the combined voting power of the voting
securities of the Company or such surviving or parent entity outstanding
immediately after such merger or consolidation, or (ii) a merger or
consolidation in which no Person acquires 50% or more of the combined voting
power of the Company’s then outstanding securities; and (B) immediately after
the consummation of such merger or consolidation described in clause (A)(i) or
(A)(ii) above (and for at least 180 days thereafter) any one of the Company’s
Chief Executive Officer, Chief Operating Officer and Chief Financial Officer do
not change from the people occupying such positions immediately prior to such
merger or consolidation except as a result of their death or Disability and none
of such officers shall have changed prior to such merger or consolidation at the
direction of a Person who has entered into an agreement with the Company the
consummation of which will constitute a Change in Control or who has caused a
Potential Change in Control to occur; or

                                    (d)        the shareholders of the Company
approve (A) a plan of complete liquidation of the Company or (B) an agreement
for the sale or disposition by the Company of all or substantially all the
Company’s assets (or other transaction having a similar effect); or

                                    (e)        any Potential Change in Control
occurs and the Company within one (1) year thereafter gives notice to the
Executive not to extend this Agreement as provided in Section 2.

            For purposes of Section 14.4(a), 14.4(c), and 14.4(d)(B) of this
Agreement only, the “Company” shall mean any of Vanguard Health Systems, Inc.,
Vanguard Health Holding Company I, LLC, or Vanguard Health Holding Company II,
LLC; provided that, any reorganization involving solely the “Company” and its
subsidiaries shall not constitute a change in control under this agreement. 
Notwithstanding any provision under Section 14.4 of this Agreement, a Change in
Control shall not include any transaction where (i) all of the Company’s Chief
Executive Officer, Chief Operating Officer and Chief Financial Officer do not
change both immediately after the Change in Control and for at least 180 days
thereafter except as a result of their death or Disability and (ii) none of

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such officers shall have changed prior to the Change in Control at the direction
of a Person who has entered into an agreement with the Company the consummation
of which will constitute a Change in Control or who has caused a Potential
Change in Control to occur.

                        14.5     “Code” shall mean the Internal Revenue Code of
1986, as amended from time to time.

                        14.6     “Company” shall mean Vanguard Health Systems,
Inc. and any successor to its business and/or assets which assumes and agrees to
perform this Agreement by operation of law, or otherwise including, without
limitation, any Person required to assume this Agreement as the Successor
pursuant to Section 9.1 (except in determining, under Section 14.4 hereof,
whether or not any Change in Control of the Company has occurred in connection
with such succession).

                        14.7     “Date of Termination” shall have the meaning
stated in Section 7.2 hereof.

                        14.8     “Disability” shall be deemed the reason for the
termination by the Company of the Executive’s employment, if, as a result of the
Executive’s incapacity due to physical or mental illness, the Executive shall
have been absent from the full-time performance of the Executive’s duties with
the Company for a period of six (6) consecutive months, the Company shall have
given the Executive a Notice of Termination for Disability, and, within thirty
(30) days after such Notice of Termination is given, the Executive shall not
have returned to the full-time performance of the Executive’s duties.

                        14.9     “Exchange Act” shall mean the Securities
Exchange Act of 1934, as amended from time to time.

                        14.10   “Executive” shall mean the individual named in
the first paragraph of this Agreement.

                        14.11   “Good Reason” for termination by the Executive
of the Executive’s employment shall mean the occurrence (without the Executive’s
express written consent) of any one of the following acts by the Company, or
failures by the Company to act, unless, in the case of any act or failure to act
described below, such act or failure to act is corrected prior to the Date of
Termination specified in the Notice of Termination given in respect thereof:

                                    (a)        a material diminution in the
Executive’s base compensation, except for across-the-board salary reductions
similarly affecting all senior executives of the Company  and all senior
executives of any Person in control of the Company;

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                                    (b)        a material diminution in the
Executive’s authority, duties or responsibilities;

                                    (c)        a material diminution in the
authority, duties or responsibilities of the supervisor to whom the Executive is
required to report, including a requirement that the Executive’s supervisor
report to a corporate officer or employee instead of reporting directly to the
Board of Directors of the Company;

                                    (d)        a material diminution in the
budget over which the Executive retains authority;

                                    (e)        a material change in the
geographic location at which the Executive must perform services, except for
required travel on the Company’s business to an extent substantially consistent
with his business travel obligations prior to the Change in Control; or

                                    (f)         any other action or inaction
that constitutes a material breach by the Company of the terms of this
Agreement.

            The Executive’s right to terminate the Executive’s employment for
Good Reason shall not be affected by the Executive’s incapacity due to physical
or mental illness, unless Executive shall have incurred a Disability; provided,
that the temporary assignment of the Executive’s responsibilities to another
employee of the Company during the period of the Executive’s incapacity shall
not itself constitute Good Reason.  The Executive’s continued employment shall
not constitute consent to, or a waiver of rights with respect to, any act or
failure to act constituting Good Reason hereunder.

                        14.12   “Notice of Termination” shall have the meaning
stated in Section 7.1 hereof.

                        14.13   “Person” shall have the meaning given in Section
3(a)(9) of the Exchange Act, as modified and used in Section 13(d) and 14(d)
thereof; however, a Person shall not include (i) the Company or any of its
subsidiaries, (ii) any trustee or other fiduciary holding securities under an
employee benefit plan of the Company or any of its subsidiaries, (iii) an
underwriter temporarily holding securities pursuant to an offering of such
securities, (iv) any entity owned, directly or indirectly, by the stockholders
of the Company in substantially the same proportions as their ownership of the
Company’s common stock, (v) any person or entity that is a stockholder of the
Company as of the date hereof and any affiliates of such person or entity, or
(vi) Blackstone (as defined in the Company’s 2004 Stock Incentive Plan) or its
affiliates.

                        14.14   “Potential Change in Control” shall be deemed to
have occurred if the conditions set forth in any one of the following paragraphs
shall have been satisfied:

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                                    (a)        the Company enters into an
agreement, the consummation of which would result in the occurrence of a Change
in Control;

                                    (b)        the Company or any Person
publicly announces an intention to take or to consider taking actions which, if
consummated, would constitute a Change in Control;

                                    (c)        any Person who is or becomes the
Beneficial Owner, directly or indirectly, of securities of the Company
representing 10% or more of the combined voting power of the Company’s then
outstanding securities increases such Person’s beneficial ownership of such
securities by 5% or more of the combined voting power of the Company’s then
outstanding securities (not including in the securities beneficially owned by
such Person any securities acquired directly from the Company); or

                                    (d)        the Board adopts a resolution to
the effect that, for purposes of this Agreement, a Potential Change in Control
has occurred.

                        14.15   ‘Retirement” shall be deemed the reason for the
termination by the Company or the Executive of the Executive’s employment if
such employment is terminated in accordance with the Company’s retirement policy
or qualified retirement plan, not including early retirement, generally
applicable to its salaried employees, as in effect immediately prior to the
Change in Control, or in accordance with any retirement arrangement established
with the Executive’s consent with respect to the Executive.

                        14.16   “Severance Payments” shall mean those payments
described in Section 6.1 hereof.

                        14.17   “Successor” is defined in Section 9.1.

                        14.18   “Total Payments” shall mean those payments
described in Section 6.2 hereof.

                        “14.19  “Waiver” is defined in Section 11.

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            IN WITNESS WHEREOF, the Company has caused this Agreement to be
executed by its duly authorized officer and the Executive has executed this
Agreement, each as of the day and year first set forth above.

                                                                        VANGUARD
HEALTH SYSTEMS, INC.

                                                                       
By:                                                                  
                                                                                   
Ronald P. Soltman
                                                                                   
Executive Vice President

                                                                       
EXECUTIVE:

                                                                       
                                                                       
                                                                        Name

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