Exhibit 99.1

Joint Filer Information

Name of Joint Filer:	MSCP III, LLC
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required

to be Reported (Month/Day/Year):	10/01/2013
Designated Filer:	Metalmark Capital LLC

Signature:

MSCP III, LLC
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:         Kenneth F. Clifford
	Title:           Chief Financial Officer

Date:           10/02/2013

Name of Joint Filer:	Morgan Stanley Capital Partners III, L.P.
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MORGAN STANLEY CAPITAL PARTNERS III, L.P.
By:	MSCP III, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:         Kenneth F. Clifford
	Title:           Chief Financial Officer

Date:           10/02/2013

Name of Joint Filer:	Morgan Stanley Capital Investors, L.P.
Address of Joint Filer:	c/o Morgan Stanley
	1585 Broadway
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013
Designated Filer:	Metalmark Capital LLC

MORGAN STANLEY CAPITAL INVESTORS, L.P.
By:	MSCP III, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name: Kenneth F. Clifford
	Title: Chief Financial Officer

Date:  10/02/2013

Name of Joint Filer:	MSCP III 892 Investors, L.P.
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MSCP III 892 INVESTORS, L.P.
By:	MSCP III, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:  Kenneth F. Clifford
	Title:  Chief Financial Officer

Date:  10/02/2013

2

Name of Joint Filer:	MSDW Capital Partners IV, LLC
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MSDW CAPITAL PARTNERS IV, LLC
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:  Kenneth F. Clifford
	Title:  Chief Financial Officer

Date:  10/02/2013

Name of Joint Filer:	Morgan Stanley Dean Witter Capital Partners IV, L.P.
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MORGAN STANLEY DEAN WITTER CAPITAL PARTNERS IV, L.P.
By:	MSDW Capital Partners IV, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:  Kenneth F. Clifford
	Title:  Chief Financial Officer

Date:  10/02/2013

3

Name of Joint Filer:	Morgan Stanley Dean Witter Capital Investors IV, L.P.
Address of Joint Filer:	c/o Morgan Stanley
	1585 Broadway
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MORGAN STANLEY DEAN WITTER CAPITAL INVESTORS IV, L.P.
By:	MSDW Capital Partners IV, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:  Kenneth F. Clifford
	Title:  Chief Financial Officer

Date:  10/02/2013

Name of Joint Filer:	MSDW IV 892 Investors, L.P.
Address of Joint Filer:	c/o Metalmark Capital LLC
	1177 Avenue of the Americas
	New York, NY 10036
Relationship of Joint Filer to Issuer:	10% Owner
Issuer Name and Ticker or Trading Symbol:	Vanguard Health Systems, Inc. (VHS)
Date of Earliest Transaction Required
to be Reported (Month/Day/Year):	10/01/2013

Designated Filer: Metalmark Capital LLC

Signature:

MSDW IV 892 INVESTORS, L.P.
By:	MSDW Capital Partners IV, LLC, as General Partner
By:	Metalmark Subadvisor LLC, as Attorney-in-Fact
	/s/Kenneth F. Clifford
	Name:  Kenneth F. Clifford
	Title:  Chief Financial Officer

Date:  10/02/2013

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