SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* AULT KELVIN M. (Last) (First) (Middle) 20 BURTON HILLS BOULEVARD SUITE 100 (Street) NASHVILLE TN 37215 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 04/02/2012	3. Issuer Name and Ticker or Trading Symbol VANGUARD HEALTH SYSTEMS INC [ VHS ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) SVP-Tax	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	10,202(1)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Employee Stock Option (Right to Buy)	(2)	05/04/2015	Common Stock	20,079	$2.8	D
Employee Stock Option (Right to Buy)	05/04/2010	05/04/2015	Common Stock	20,079	$2.8	D
Employee Stock Option (Right to Buy)	05/04/2010	05/04/2015	Common Stock	17,219	$33.67	D
Employee Stock Option (Right to Buy)	(3)	02/05/2018	Common Stock	10,427	$2.8	D
Employee Stock Option (Right to Buy)	(4)	02/05/2018	Common Stock	10,427	$2.8	D
Employee Stock Option (Right to Buy)	(4)	02/05/2018	Common Stock	8,937	$33.67	D

Explanation of Responses:

1. Includes 9,921 shares of the Issuer's common stock underlying restricted stock units that vest in four equal installments on the first, second, third and fourth anniversaries of the grant date (or earlier upon a change of control).

2. This option becomes exercisable upon the earlier of (1) the completion of any of certain designated business events ("liquidity events" related to the return of the Issuer's original equity sponsor, investment funds affiliated with The Blackstone Group, on its invested capital) and (2) 05/04/2013, the eighth anniversary of the date of grant.

3. This option becomes exercisable upon the earlier of (1) the completion of any of certain designated business events ("liquidity events" related to the return of the Issuer's original equity sponsor, investment funds affiliated with The Blackstone Group, on its invested capital) and (2) 02/05/2016, the eighth anniversary of the date of grant.

4. This option becomes exercisable 20% per year on each of the first five anniversaries of the 02/05/2008 grant date of these options (or earlier upon a change of control) beginning on 02/05/2009.

Remarks:

EXHIBIT LIST Exhibit 24 - Power of Attorney

	/s/ James H. Spalding, Attorney-in-Fact	04/12/2012
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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