EXHIBIT 99.1

Vanguard Health Systems Reports Fourth Quarter and Year End Fiscal 2012 Results
Outlook for Fiscal 2013 Issued

NASHVILLE, Tenn. - August 22, 2012 - Vanguard Health Systems, Inc. (NYSE: VHS) today announced financial and operating results for its fourth fiscal quarter and year ended June 30, 2012 and issued its outlook for fiscal 2013.
Fourth Quarter Fiscal 2012 Key Metrics (all percentage changes compare Q4 FY2012 to Q4 FY2011):
Consolidated:
Net income attributable to Vanguard Health Systems, Inc. stockholders was $19.3 million, or $0.24 per diluted share, compared to a net loss of $11.0 million, or $(0.23) per diluted share, during the prior year period
Adjusted EBITDA increased 9.6 percent to $140.8 million
  
Same Store:
Adjusted discharges increased 0.8 percent
Patient revenue per adjusted discharge increased 2.4 percent
Discharges declined 1.5 percent

Fiscal 2012 Key Metrics (all percentage changes compare fiscal year 2012 to fiscal year 2011):
Consolidated:
Total revenues increased $1,367.3 million or 29.8 percent
Net income attributable to Vanguard Health Systems, Inc. stockholders was $57.3 million, or $0.71 per diluted share, compared to a loss of $12.0 million, or $(0.26) per diluted share, during the prior year
Adjusted EBITDA increased 36.7 percent to $575.7 million, including the previously disclosed $34.6 million positive impact of updates to Medicare reimbursement estimates related to the rural floor provision of the Balanced Budget Act of 1997 and Supplemental Security Income ratios that occurred during the third quarter of fiscal 2012

Same Store:
Net patient service revenues increased 5.9 percent and health plan premium revenues declined 16.1 percent
Adjusted discharges increased 1.4 percent
Patient revenue per adjusted discharge increased 4.3 percent
Discharges declined 2.1 percent

A reconciliation of Adjusted EBITDA, a non-GAAP financial measure, to net income (loss) attributable to Vanguard Health Systems, Inc. stockholders for the quarters and years ended June 30, 2011 and 2012 is included in this release.











The following information was filed by Vanguard Health Systems Inc (VHS) on Thursday, August 23, 2012 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-K Annual Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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