EXHIBIT 99.1
Vanguard Health Systems Reports Third Quarter Fiscal 2013 Results
Fiscal 2013 Outlook Updated

NASHVILLE, Tenn. - April 30, 2013 - Vanguard Health Systems, Inc. (NYSE: VHS) today announced financial and operating results for its third fiscal quarter of 2013.

Third Quarter Fiscal 2013 Key Metrics (all percentage changes compare Q3 FY2013 to Q3 FY2012):
Consolidated and Same Store:
Net income attributable to Vanguard Health Systems, Inc. stockholders was $21.3 million, or $0.26 per diluted share, compared to $44.0 million, or $0.55 per diluted share, during the prior year period. The prior year period amount was positively impacted by $22.3 million, or $0.28 per diluted share, related to reimbursement updates for the rural floor provision of the Balanced Budget Act of 1997 and revised Supplemental Security Income ratios.
Adjusted EBITDA was $143.0 million compared to $176.6 million during the prior year period. The prior year period amount was positively impacted by $34.6 million related to the reimbursement updates.
Discharges decreased 3.2 percent.
Adjusted discharges decreased 1.8 percent.
Patient revenue per adjusted discharge was flat compared to the prior year period, absent the impact of the prior year reimbursement updates.

Year to Date Fiscal 2013 Key Metrics (all percentage changes compare nine months FY2013 to nine months FY2012):
Consolidated:
Net income attributable to Vanguard Health Systems, Inc. stockholders was $47.4 million, or $0.57 per diluted share, compared to $38.0 million, or $0.47 per diluted share, during the prior year period.
Adjusted EBITDA was $414.0 million compared to $434.9 million during the prior year period.
  
Same Store:
Patient revenue per adjusted discharge increased 1.4 percent, absent the impact of the prior year reimbursement updates.
Discharges decreased 2.3 percent.
Adjusted discharges decreased 1.0 percent.

A reconciliation of Adjusted EBITDA, a non-GAAP financial measure, to net income attributable to Vanguard Health Systems, Inc. stockholders for the quarters and nine month periods ended March 31, 2012 and 2013 is included in this release.

Third Quarter Analysis
Consolidated total revenues decreased $84.4 million during the third quarter of fiscal 2013 compared to the prior year period. Net patient service revenues decreased $75.7 million primarily due to the $49.7 million of revenues during the prior year period related to the reimbursement updates and a 1.8 percent decrease in adjusted discharges during the current year period. Health plan premium revenues decreased slightly during the third quarter of fiscal 2013 compared to the prior year period as a result of fewer members enrolled in Phoenix Health Plan. Uncompensated care as a percentage of net patient revenues (prior to uncompensated care deductions) was 20.5 percent during the third quarter of fiscal 2013 compared to 18.5 percent during the prior year period, absent the impact of the prior year reimbursement updates. Other operating expenses were significantly lower during the third quarter of fiscal 2013 compared to the prior year period due to a reduction in professional and general liability losses.



The following information was filed by Vanguard Health Systems Inc (VHS) on Wednesday, May 1, 2013 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-Q Quarterly Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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