FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

BALLANTYNE REGINALD M III

2. Date of Event Requiring Statement (MM/DD/YYYY)
6/21/2011 

3. Issuer Name and Ticker or Trading Symbol

VANGUARD HEALTH SYSTEMS INC [VHS]

(Last)        (First)        (Middle)

20 BURTON HILLS BOULEVARD, SUITE 100

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                            _____ 10% Owner
___ X ___ Officer (give title below)          ___ X ___ Other (specify below)
SVP-Market Strategy & Gov't / *

(Street)

NASHVILLE, TN 37215       

(City)              (State)              (Zip)
5. 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 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   219007   D  
 

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: 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)     (1) 2/5/2018   Common Stock   4170.8   $2.80   D  
 
Employee Stock Option (Right to Buy)     (2) 2/5/2018   Common Stock   4170.8   $2.80   D  
 
Employee Stock Option (Right to Buy)     (1) 2/5/2018   Common Stock   3575   $33.67   D  
 
Employee Stock Option (Right to Buy)   6/21/2011   6/21/2021   Common Stock   22825.5   $33.67   D  
 

Explanation of Responses:
( 1)  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.
( 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) 02/05/2016, the eighth anniversary of the date of grant.

Remarks:
* Member of 10% owner group.

EXHIBIT LIST
Exhibit 24 - Power of Attorney

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
BALLANTYNE REGINALD M III
20 BURTON HILLS BOULEVARD
SUITE 100
NASHVILLE, TN 37215


SVP-Market Strategy & Gov't *

Signatures
Ronald P. Soltman, Attorney-in-Fact 6/21/2011
** 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).
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.
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