Statement of Changes in Beneficial Ownership (4)

FORM 4 [ X ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).	UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response... 0.5
	Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person * Metalmark Capital LLC	2. Issuer Name and Ticker or Trading Symbol VANGUARD HEALTH SYSTEMS INC [ VHS ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director                      __ X __ 10% Owner _____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle) 1177 AVENUE OF THE AMERICAS,	3. Date of Earliest Transaction (MM/DD/YYYY) 10/1/2013
(Street) NEW YORK, NY 10036 (City)        (State)        (Zip)	4. If Amendment, Date Original Filed (MM/DD/YYYY)	6. Individual or Joint/Group Filing (Check Applicable Line) ___ Form filed by One Reporting Person _ X _ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security (Instr. 3)	2. Trans. Date	2A. Deemed Execution Date, if any	3. Trans. Code (Instr. 8)		4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	10/1/2013		I	V	7707834	D	$21.00	0	I	By Subsidiary   (1) (2)

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Trans. Date	3A. Deemed Execution Date, if any	4. Trans. Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:
( 1)	Metalmark Capital LLC ("Metalmark") is the principal owner of Metalmark Subadvisor LLC ("Subadvisor"). Subadvisor provides certain advisory services to the following limited partnerships (the "Partnerships"): (A) Morgan Stanley Capital Partners III, L.P. ("MSCP III, L.P."), MSCP III 892 Investors, L.P. ("MSCP III 892") and Morgan Stanley Capital Investors, L.P. ("MSCI") and (B) Morgan Stanley Dean Witter Capital Partners IV, L.P., ("MSDW Capital Partners"), Morgan Stanley Dean Witter Capital Investors IV, L.P. ("MSDW Capital Investors") and MSDW IV 892 Investors, L.P. ("MSDW IV 892"). MSCP III, LLC ("MSCP III") is the general partner of each of the limited partnerships listed in (A). MSDW Capital Partners IV, LLC ("MSDW Capital") is the general partner of each of the limited partnerships listed in (B).
( 2)	The services provided by Subadvisor to the Partnerships are pursuant to a delegation of authority under a Subadvisory Agreement between Subadvisor and MSCP III and MSDW Capital, as the general partners of the Partnerships.

Remarks: Exhibit 99.1, incoporated by reference herein.

Reporting Owners
Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
Metalmark Capital LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MSCP III LLC C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MSCP III 892 INVESTORS LP C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MSDW CAPITAL PARTNERS IV LLC C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MSDW Capital Partners IV, L P C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MORGAN STANLEY DEAN WITTER CAPITAL INVESTORS IV L P C/O MORGAN STANLEY 1585 BROADWAY NEW YORK, NY 10036		X
MSDW IV 892 INVESTORS L P C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
Morgan Stanley Capital Partners III, L.P. C/O METALMARK CAPITAL LLC 1177 AVENUE OF THE AMERICAS NEW YORK, NY 10036		X
MORGAN STANLEY CAPITAL INVESTORS L P C/O MORGAN STANLEY 1585 BROADWAY NEW YORK, NY 10036		X

Signatures
/s/Kenneth F. Clifford, as authorized signatory of Metalmark Capital LLC		10/2/2013
** Signature of Reporting Person		Date
/s/ Kenneth F. Clifford, Chief Financial Officer of Metalmark Subadvisor LLC, as attorney-in-fact for MSCP III, LLC and MSDW Capital Partners IV, LLC and as attorney-in-fact for the general partner of each of Morgan Stanley Capital Partners III, L.P.,		10/2/2013
** Signature of Reporting Person		Date
Morgan Stanley Capital Investors, L.P., MSCP III 892 Investors, L.P., Morgan Stanley Dean Witter Capital Partners IV, L.P., Morgan Stanley Dean Witter Capital Investors IV, L.P., and MSDW IV 892 Investors L.P.		10/2/2013
** 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 4(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).
Note:	File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.