Vanguard Health Systems Inc Watch

from 8-K 192 pages Amendment No. 1, Dated as of March 14, 2013 (This “Amendment”), to the Credit Agreement Dated as of January 29, 2010, Among Vanguard Health Holding Company II, LLC, a Delaware Limited Partnership (The “Borrower”), Vanguard Health Holding Company I, LLC, a Delaware Limited Liability Company , the Several Banks and Other Financial Institutions or Entities From Time to Time Parties to the Credit Agreement (Each a “Lender” And, Collectively, the “Lenders”), Bank of America, N.A., as Administrative Agent (The “Administrative Agent”), Collateral Agent, Issuing Lender and Swingline Lender (As Amended, Restated, Modified and Supplemented From Time to Time, the “Credit Agreement”); Capitalized Terms Used and Not Otherwise Defined Herein Shall Have the Meanings Assigned to Such Terms in the Credit Agreement. Whereas, the Borrower Desires to Amend the Credit Agreement on the Terms Set Forth Herein; Whereas, Section 14.12 of the Credit Agreement Provides That the Relevant Credit Parties and the Required Lenders May Amend the Credit Agreement and the Other Credit Documents for Certain Purposes Including to Refinance Existing Term Loans Under the Credit Agreement;

from 8-K 160 pages Credit Agreement Among Vanguard Health Holding Company I, LLC, Vanguard Health Holding Company II, LLC, Various Lenders, Bank of America, N.A., as Administrative Agent, Barclays Capital, as Syndication Agent, Citigroup Global Markets Inc., Deutsche Bank Trust Company Americas, Goldman Sachs Bank USA, and Morgan Stanley Senior Funding, Inc., as Co-Documentation Agents, Banc of America Securities LLC and Barclays Capital, as Joint Lead Arrangers and Joint Book Runners, and Citigroup Global Markets Inc., Deutsche Bank Securities Inc., Goldman Sachs Bank USA and Morgan Stanley Senior Funding, Inc., as Joint Book Runners Dated as of January 29, 2010

from 8-K ~20 pages First Amendment to Credit Agreement

from 8-K ~20 pages First Amendment to Credit Agreement

from S-4 >50 pages Credit Agreement

from 8-K >50 pages Credit Agreement Among Vanguard Health Systems, Inc., Various Lenders, Bank of America, N.A., as Administrative Agent, Citicorp North America, Inc., as Syndication Agent, General Electric Capital Corporation, Lasalle Bank, National Association, and Wachovia Bank, National Association, as Co-Documentation Agents, and Banc of America Securities LLC and Citigroup Global Markets Inc., as Joint Lead Arrangers and Book Runners Dated as of May 18, 2004