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 * SPALDING JAMES H.	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                      _____ 10% Owner __ X __ Officer (give title below)      __ X __ Other (specify below) EVP, General Counsel & Sec'y / Member of 10% owner group
(Last)          (First)          (Middle) 20 BURTON HILLS BOULEVARD, SUITE 100	3. Date of Earliest Transaction (MM/DD/YYYY) 10/1/2013
(Street) NASHVILLE, TN 37215 (City)        (State)        (Zip)	4. If Amendment, Date Original Filed (MM/DD/YYYY)	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 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		D		192513	D	$21.00	0	D
Restricted Stock Units	10/1/2013		D		28770	D	$21.00	0	D

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
Employee Stock Option (Right to Buy)	$2.80	10/1/2013		J			62682	(1)	(1)	Common Stock	62682	$18.20	0	D

Explanation of Responses:

( 1)

In connection with the completion on October 1, 2013 of the previously-announced merger (the "Merger") of Vanguard Health Systems, Inc., a Delaware corporation (the "Company"), with Orange Merger Sub, Inc. ("Merger Sub"), a wholly owned subsidiary of Tenet Healthcare Corporation ("Parent"), pursuant to the terms of the Agreement and Plan of Merger, dated as of June 24, 2013 (the "Merger Agreement"), by and among Parent, Merger Sub and the Company, at the effective time of the Merger, the stock options were canceled in exchange for a cash payment, subject to any required tax withholdings, equal to the excess of $21.00 per share over the exercise price per share under each stock option multiplied by the number of shares subject to such stock option.

Reporting Owners
Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
SPALDING JAMES H. 20 BURTON HILLS BOULEVARD SUITE 100 NASHVILLE, TN 37215			EVP, General Counsel & Sec'y	Member of 10% owner group

Signatures
/s/ Gary D. Willis, Attorney-in-Fact		10/3/2013
** 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.
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