Vanguard Health Systems, Inc. Severance Pay Letter to Dale S. St. Arnold (September 12, 2003)

Summary

This letter from Vanguard Health Systems, Inc. to Dale S. St. Arnold outlines a severance arrangement. If the company terminates Mr. St. Arnold's employment without cause before June 30, 2004 and before a change of control, he will receive $31,500 per month for 12 months as severance pay. He will also continue to participate in the company's medical, dental, and vision plans for 12 months under COBRA, with employer subsidies. The agreement is signed by the company's Senior Vice President of Human Resources.

EX-10.27 5 exhibit10_27.htm VANGUARD HEALTH SYSTEMS, INC.

EXHIBIT 10.27

September 12, 2003


Dale S. St. Arnold
9563 E. Monument Drive
Scottsdale, AZ 85262

Re:       Letter of Understanding

Dear Dale:

On behalf of Vanguard Health Systems, Inc. (the “Company”), I am pleased to make the
following commitment to you in respect of severance pay:

            Termination of Employment Prior to a Change of Control

            In the event the Company terminates your employment without cause prior to June 30,
            2004 and prior to a Change of Control (as defined in a certain Severance Protection
            Agreement between you and the Company) of the Company, you will be entitled to
            receive from the Company severance pay, payable $31,500 per month, for a period of
            twelve (12) months after your termination  and you will also be entitled to continued
            participation for 12 months in the Company’s medical, dental and vision plans under
            COBRA on an employer subsidized basis.

Sincerely,

VANGUARD HEALTH SYSTEMS, INC.

By:/s/ Jim Johnston                                  
            Jim Johnston
            Senior Vice President Human Resources

cc:        Larry Hough
            Ronald Soltman