**UNITED STATESSECURITIES AND EXCHANGE COMMISSION****WASHINGTON, D.C. 20549**

_______________**FORM 10-Q/A****Amendment No. 1******_______________

| **(Mark One)** |  |                                                                 |
|----------------|--|-----------------------------------------------------------------|
| ** **     |  |                                                                 |
| **x**          |  | **QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF**         |
|           |  | **THE SECURITIES EXCHANGE ACT OF 1934**                         |
|           |  |                                                                 |
|           |  | **For the quarterly period ended September 30, 2002**           |
|           |  |                                                                 |
|           |  | **OR**                                                          |
| ** **     |  |                                                                 |
| **o**          |  | **TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF**        |
|           |  | **THE SECURITIES EXCHANGE ACT OF 1934**                         |
|           |  |                                                                 |
|           |  | **For the transition period from ____________ to ____________** |

**Commission File Number: 333-71934**_______________

**VANGUARD HEALTH SYSTEMS, INC.******(Exact name of registrant as specified in its charter)

| **Delaware**                                                     |          | **62-1698183**                         |
|------------------------------------------------------------------|----------|----------------------------------------|
| *(State or other jurisdiction of incorporation or organization)* | * * | *(I.R.S. Employer Identification No.)* |

**20 Burton Hills Boulevard, Suite 100Nashville, TN 37215**(Address and zip code of principal executive offices)**(615) 665-6000**(Registrant’s telephone number, including area code)

     Indicate by check mark whether the registrant (1) has filed all reports required to be filed under Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or forsuch shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.     Yesx   Noo

     There were 203,308 shares of Common Stock outstanding as of November 1, 2002 (all of which are privately owned and not traded on a public market).

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                Vanguard Health Systems, Inc. (the “Company”), a Delaware corporation, hereby amends its Quarterly Report on Form 10-Q forits quarterly period ended September 30, 2002.  The Company is filing this amendment for the purpose of including in such Quarterly Report Exhibits 99.1 and 99.2 thereto (as described below) which were inadvertently not included in the Company’s filing onNovember 12, 2002, of its Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2002.

**Item 6.    Exhibits And Reports On Form 8-K**

****

                (a)           Exhibits                                10.1         Amendment No. 24, effectiveOctober 1, 2002, to the Arizona Health Care Cost                                               Containment System Administration Contract with VHS Phoenix Health Plan, Inc.*

                               99.1         Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted                                               pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

                               99.2         Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted                                               pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

_______________*Denotes documents previously filed.

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**SIGNATURE**

                Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly authorized this report to be signed on itsbehalf by the undersigned thereunto duly authorized.

DATE:     November 12,2002                                                            VANGUARD HEALTH SYSTEMS, INC.

                                                                                                               BY:          /s/ Joseph D.Moore                                                                                                                                                                          *Joseph D. Moore                                                                                                                               Executive Vice President, Chief Financial Officer                                                                                                                               and Treasurer*                                                                                                                               (Authorized Officer and Principal Financial Officer)

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**INDEX TO EXHIBITS**
| No.    |       | Description                                                                                                                                                 |
|--------|--------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|
|   |       |                                                                                                                                                        |
| 10.1   |       | Amendment No. 24, effective October 1, 2002, to the Arizona Health Care Cost Containment System Administration Contract with VHS Phoenix Health Plan, Inc.* |
|   |       |                                                                                                                                                        |
| 99.1   |       | Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.          |
|   |       |                                                                                                                                                        |
| 99.2   |       | Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.          |

_______________*Denotes documents previously filed.

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