EXHIBIT 10.1

***ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION*DIVISION OF BUSINESS AND FINANCE****SECTION A: CONTRACT**
| 1. AMENDMENT NUMBER:     2                                                                                      |  | 2.  CONTRACT NO.:      YH09-0001-07 |  | 3.  EFFECTIVE DATE OF CONTRACT:      January 15, 2009 |  | 4.  PROGRAM:      DHCM - ACUTE |
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| 5. CONTRACTOR’S NAME AND ADDRESS:

VHS Phoenix Health Plan, LLC 7878 N. 16th St., Suite 105 Phoenix, Arizona  85020 |
| 6. PURPOSE OF AMENDMENT:  To amend Section D.                                                                             |
| 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |   | THE CONTRACT REFERENCED ABOVE IS AMENDED AS FOLLOWS: |   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
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|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |   | A.                                                   |        | Added to Paragraph 58, Coordination of Benefits, the following language to the end of the paragraph:

AHCCCS has developed a process and agreement with Blue Cross Blue Shield of Arizona (BCBSAZ) to receive both historic and current BCBSAZ coverage data

Based on this information, AHCCCS will be submitting claims on behalf of AHCCCS Contractors for services reimbursed for dates of services 1/15/06 through 3/31/08. From the monies recovered, AHCCCS will disburse 50% to theContractor and 50% to the Agency for recoveries of non-TWG, non-PPC, non-Reinsurance related claims. For these claims, AHCCCS will withhold 12% of the disbursement to the Contractor to compensate the vendor recovering the funds. AHCCCS will retain 100% of any BCBSAZrecoveries related to PPC, TWG and Reinsurance-related claims The Contractor is restricted from recouping any funds for BCBSAZ liability for the period of 1/15/06- 3/31/08. However, the Contractor is responsible for coordination of benefits from 4/1/08forward. |
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| By signing this contract, the Contractor is agreeing to the terms of the contract.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
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| **NOTE:**  Please sign and date all copies and then return one executed original to:                 Mark Held                                                                                                                                Sr. Procurement Specialist                                                                                                                                AHCCCS Contracts                                                                                                                                701 E. Jefferson St., MD 5700                                                                                                                                Phoenix, AZ  85034 |
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| **8.  EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT.**                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |
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| **IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT**                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| 9.  SIGNATURE OF AUTHORIZED REPRESENTATIVE:                                                                                                 |   | 10.  SIGNATURE OF AHCCCSA CONTRACTING OFFICER:   |
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|      /a/ Nancy Novick                                                                                                        |   |        /s/ Michael Veit |
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| TYPED NAME:        NANCY NOVICK                                                                               |   | MICHAEL VEIT                                          |
| TITLE:                    CHIEF EXECUTIVE OFFICER |   | CONTRACTS & PURCHASING ADMINISTRATOR              |
| DATE:                     1/16/09            |   | DATE:     JAN 12, 2009            |