Document:

exv10w88

EXHIBIT 10.88

AMENDMENT
NO. [•]

TO

[AMENDED AND RESTATED] EMPLOYMENT AGREEMENT

     This Amendment No. [•] (this “Amendment’) dated as of         [•], 2011, is made by and
between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and [•] (the
“Executive”).

     WHEREAS, the Company and the Executive executed a certain [Amended and Restated] Employment
Agreement dated as of [•], [as further amended] (collectively, the “EA”), to secure the
services of the Executive as [•]; and

     WHEREAS, the Company and the Executive wish the make certain technical amendments to the EA in
contemplation of, among other things, the Company’s initial public offering of its common stock.

     NOW, THEREFORE, in consideration of the premises and the mutual covenants herein contained,
the Company and the Executive hereby agree that the EA is amended as follows:

     1. Defined Terms. Except for those terms defined above and the change in the
definition of “Change in Control” adopted pursuant to this Amendment, the definitions of
capitalized terms used in this Amendment are as provided in the EA.

     2. Amendment to Section 10(h). Section 10(h) of the EA is hereby deleted and replaced
with the following new Section 10(h):

“(h) Change in Control. For purposes of this Agreement, a Change in Control of the
Company shall mean the occurrence of any of the following events:

     (i) any person or group, other than the Permitted Holders, is or becomes the
“beneficial owner” (as defined in rules 13d-3 and 13d-5 under the Act) directly or
indirectly of more than 50% of the total voting power of the voting stock of the Company,
including by way of merger, consolidation or otherwise;

     (ii) a reorganization, recapitalization, merger or consolidation (a “Corporate
Transaction”) involving the Company, unless securities representing 50% or more of the
combined voting power of the then outstanding voting securities entitled to vote generally
in the election of directors of the Company or the corporation resulting from such Corporate
Transaction (or the parent of such corporation) are held subsequent to such transaction by
the person or persons who were the “beneficial owners” of the outstanding voting securities
entitled to vote generally in the election of directors of the Company immediately prior to
such Corporate Transaction, in substantially the same proportions as their ownership
immediately prior to such Corporate Transaction;

     (iii) the sale or disposition, in one or a series of related transactions, of all or
substantially all, of the assets of the Company to any “person” or “group” (as such

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terms are defined in Sections 13(d)(3) or 14(d)(2) of the Act) other than the Permitted
Holders; or

     (iv) during any period of 12 months, individuals who at the beginning of such period
constituted the Company’s Board of Directors (the “Board), together with any new directors
whose election by the Board or whose nomination for election by the stockholders of the
Company was approved by a vote of a majority of the directors of the Company (then still in
office) who were either directors at the beginning of such period or whose election or
nomination for election was previously so approved, cease for any reason to constitute a
majority of the Board, then in office;

provided, however, that such transaction also constitutes a change in control event within
the meaning of Section 409A.

The term Permitted Holders as used above shall mean any of (i) Blackstone or its affiliates,
(ii) an employee benefit plan (or trust forming a part thereof) maintained by (A) the
Company or (B) any corporation or other person or entity of which a majority of its voting
power of its voting equity securities or equity interest is owned, directly or indirectly,
by the Company, and (iii) VHS Holdings LLC, a Delaware limited liability company, or any of
its subsidiaries. The term Blackstone as used above shall mean each of of Blackstone FCH
Capital Partners IV L.P., Blackstone Health Commitment Partners L.P., Blackstone Capital
Partners IV-A L.P., Blackstone Family Investment Partnership IV-A L.P., Blackstone Health
Commitment Partners-A L.P., Blackstone FCH Capital Partners IV-B L.P., and Blackstone FCH
Capital Partners IV-A L.P., and their respective Affiliates.”

     3. Amendment to Section 11(e)(i). Section 11(e)(i) of the EA shall be amended by
adding the following phrase to the end of the paragraph as follows:

“; for greater certainty, the pro-rata portion of the Executive’s current year annual bonus
will be determined following the end of the applicable measurement period and will be paid
at the same as annual bonuses are otherwise paid to the Company’s senior executives.”

     4. Amendment to Section 11(g). Section 11(g) of the EA shall be amended by adding the
following sentence to the end of Section 11(g):

“Notwithstanding the foregoing, for purposes of Section 409A, the right to a series of
installment payments under this Agreement shall be treated as a right to a series of
separate payments and, in addition, any payment that is otherwise exempt from the
application of Section 409A shall not be included in the calculation of Deferred
Compensation Separation Benefits.”

     5. Ratification. All other provisions of the EA remain unchanged and are hereby
ratified by the Company and the Executive.

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

	 	 	 

	 

	 	Vanguard Health Systems, Inc.
	 
	 	 
	 

	 	By: 
	 

	 	 

        Name:
	 

	 	        Title:
	 
	 	 
	 

	 	Executive:
	 
	 	 
	 

	 	 

[Name]

3exv10w89

EXHIBIT 10.89

AMENDMENT NO. [•]

TO

[AMENDED AND RESTATED] SEVERANCE PROTECTION AGREEMENT

     This Amendment No. [•] (this “Amendment’) dated as of         [•], 2011, is made by and
between Vanguard Health Systems, Inc., a Delaware corporation (the “Company”), and [•] (the
“Executive”).

     WHEREAS, the Company and the Executive executed a certain [Amended and Restated] Severance
Protection Agreement dated as of [•], [as further amended] (collectively, the “SPA”), to
secure the services of the Executive as [•]; and

     WHEREAS, the Company and the Executive wish the make certain technical amendments to the SPA
in contemplation of, among other things, the Company’s initial public offering of its common stock.

     NOW, THEREFORE, in consideration of the premises and the mutual covenants herein contained,
the Company and the Executive hereby agree that the SPA is amended as follows:

     1. Defined Terms. Except for those terms defined above and the change in the
definition of “Change in Control” adopted pursuant to this Amendment, the definitions of
capitalized terms used in this Amendment are as provided in the SPA.

     2. Amendment to Section 14.4. Section 14.4 of the SPA is hereby amended by deleting
the first sentence of the last paragraph of the definition of “Change in Control”.

     3. Amendment to Section 6. Section 6 of the SPA shall be amended by adding the
following new subsection 6.5 as follows:

     6.5 Notwithstanding any other provision of this Agreement, no amount shall be deferred,
accelerated, extended, paid out or modified under this Plan in a manner that would result in the
imposition of an additional tax under Section 409A of the Code. In the event that it is reasonably
determined by the Board that, as a result of Section 409A of the Code, payments may not be made at
the time contemplated hereunder without causing the Executive to be subject to taxation under
Section 409A of the Code, the Company will make such payment on the first day that would not result
in the Executive incurring any tax liability under Section 409A of the Code. To the extent
necessary to comply with Section 409A, references to the Executive’s termination of employment
shall be deemed to refer to the date upon which the Executive has experienced a “separation from
service” within the meaning of Section 409A of the Code. For purposes of Section 409A, the right
to a series of installment payments under this Agreement, if any, shall be treated as a right to a
series of separate payments. Notwithstanding anything herein to the contrary, (a) if at the time
of the Executive’s separation from service, the Executive is a “specified employee” as defined in
Section 409A of the Code, and the deferral of the commencement of any payments or benefits
otherwise payable hereunder as a result of such separation from service is necessary in order to
prevent the imposition of any accelerated or additional tax under Section 409A of the Code, then
the Company will defer the commencement

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of the payment of any such payments or benefits hereunder (without any reduction in such
payments or benefits ultimately paid or provided to the Executive) to the minimum extent necessary
to satisfy Section 409A of the Code until the date that is six months and one day following the
Executive’s separation from service (or the earliest date as is permitted under Section 409A of the
Code), if such payment or benefit is payable upon a termination of employment and (b) if any other
payments of money or other benefits due to the Executive hereunder would cause the application of
an accelerated or additional tax under Section 409A of the Code, such payments or other benefits
shall be deferred, if deferral will make such payment or other benefits compliant under Section
409A of the Code, or otherwise such payment or other benefits shall be restructured, to the minimum
extent necessary, in a manner, reasonably determined by the Board, that does not cause such an
accelerated or additional tax or result in an additional cost to the Company (without any reduction
in such payments or benefits ultimately paid or provided to the Executive).

The Company shall use commercially reasonable efforts to implement the provisions of this Section
6.5 in good faith; provided that neither the Company, the Board, nor any of the Company’s
employees, directors or representatives shall have any liability to the Executive with respect to
this Section 6.5.

     4. Ratification. All other provisions of the SPA remain unchanged and are hereby
ratified by the Company and the Executive.

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

	 	 	 

	 

	 	Vanguard Health Systems, Inc.
	 
	 	 
	 

	 	By:
	 

	 	 

       Name:
	 

	 	       Title:
	 
	 	 
	 

	 	Executive:
	 
	 	 
	 

	 	 

[Name]

2

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