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

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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
OMB APPROVAL
OMB Number: 3235-0104
Expires: January 31, 2005
Estimated average burden hours per response... 0.5

(Print or Type Responses)
1. Name and Address of Reporting Person *
  BLACKSTONE MANAGEMENT ASSOCIATES IV LLC
2. Date of Event Requiring Statement (Month/Day/Year)
06/21/2011
3. Issuer Name and Ticker or Trading Symbol
VANGUARD HEALTH SYSTEMS INC [VHS]
(Last)
(First)
(Middle)
C/O THE BLACKSTONE GROUP L.P., 345 PARK AVENUE
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
5. If Amendment, Date Original Filed(Month/Day/Year)
06/21/2011
(Street)

NEW YORK, NY 10154
6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
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 20,585,466
I
See Footnotes (1) (2) (3) (4)
Common Stock 385,659
I
See Footnotes (1) (2) (3) (5)
Common Stock 1,248,232
I
See Footnotes (1) (2) (3) (6)
Common Stock 3,601,578
I
See Footnotes (1) (2) (3) (7)
Common Stock 782,538
I
See Footnotes (1) (2) (3) (8)
Common Stock 1,290,366
I
See Footnotes (1) (2) (3) (9)
Common Stock 1,487,725
I
See Footnotes (1) (2) (3) (10)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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.

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(Month/Day/Year)
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

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
BLACKSTONE MANAGEMENT ASSOCIATES IV LLC
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
    X    
BCP IV SIDE-BY-SIDE GP L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
    X    
Blackstone Holdings III L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
  X   X    
Blackstone Holdings III GP L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
  X   X    
Blackstone Holdings III GP Management L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
  X   X    
Blackstone Group L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
    X    
Blackstone Group Management L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
  X   X    
SCHWARZMAN STEPHEN A
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY 10154
  X   X    

Signatures

BLACKSTONE MANAGEMENT ASSOCIATES IV L.L.C. ; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

BCP IV SIDE-BY-SIDE GP L.L.C. ; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

BLACKSTONE HOLDINGS III L.P.; By: Blackstone Holdings III GP L.P., its General Partner; By: Blackstone Holdings III GP Management L.L.C., its General Partner; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

BLACKSTONE HOLDINGS III GP L.P.; By: Blackstone Holdings III GP Management L.L.C., its General Partner; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

BLACKSTONE HOLDINGS III GP MANAGEMENT L.L.C. ; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

THE BLACKSTONE GROUP L.P. By: Blackstone Group Management L.L.C., its General Partner; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

BLACKSTONE GROUP MANAGEMENT L.L.C.; By: /s/ John G. Finley; Title: Chief Legal Officer 03/30/2012
**Signature of Reporting Person Date

/s/ Stephen A. Schwarzman 03/30/2012
**Signature of Reporting Person Date

Explanation of Responses:

* 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).
(1) This amended Form 3 is being filed solely to add additional entities affiliated with the direct holders of the reported securities reported herein as Reporting Persons which may be deemed to indirectly beneficially own the securities reported herein.
(2) The general partner of each of Blackstone FCH Capital Partners IV L.P., Blackstone Health Commitment Partners L.P., Blackstone Capital Partners IV-A L.P., Blackstone FCH Capital Partners IV-A L.P., Blackstone FCH Capital Partners IV-B L.P. and Blackstone Health Commitment Partners-A L.P is Blackstone Management Associates IV L.L.C. The general partner for Blackstone Family Investment Partnership IV-A L.P. is BCP IV Side-by-Side GP L.L.C.(continued to Footnote 3)
(3) The majority of the membership interests in Blackstone Management Associates IV L.L.C. are held by Blackstone Holdings III L.P. The sole member of BCP IV Side-by-Side GP L.L.C. is Blackstone Holdings III L.P. The general partner of Blackstone Holdings III L.P. is Blackstone Holdings III GP L.P. The general partner of Blackstone Holdings III GP L.P. is Blackstone Holdings III GP Management L.L.C. The sole member of Blackstone Holdings III GP Management L.L.C. is The Blackstone Group L.P. The general partner of The Blackstone Group L.P. is Blackstone Group Management L.L.C. Blackstone Group Management L.L.C. is wholly owned by Blackstone's senior managing directors and controlled by its founder, Stephen A. Schwarzman.
(4) Represents shares held by Blackstone FCH Capital Partners IV LP.
(5) Represents shares held by Blackstone Capital Partners IV-A LP.
(6) Represents shares held by Blackstone Family Investment Partnership IV-A LP.
(7) Represents shares held by Blackstone Health Commitment Partners LP.
(8) Represents shares held by Blackstone Health Commitment Partners -A LP.
(9) Represents shares held by Blackstone FCH Capital Partners IV-A LP.
(10) Represents shares held by Blackstone FCH Capital Partners IV-B LP.
 
Remarks:
Due to the limitations of the Securities and Exchange Commission's EDGAR system, Blackstone FCH Capital Partners IV LP; Blackstone Capital Partners IV-A LP; Blackstone Family Investment Partnership IV-A LP; Blackstone Health Commitment Partners LP; Blackstone Health Commitment Partners -A LP; Blackstone FCH Capital Partners IV-A LP and Blackstone FCH Capital Partners IV-B LP have filed a separate Form 3.

Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein.  The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.