Amendment Number 6 to the Vanguard Health Systems, Inc. 2004 Stock Incentive Plan, effective February 13, 2009

EXHIBIT 10.2

Approved by the Board of Directors on February 4, 2009, and effective on
February 13, 2009.

AMENDMENT NUMBER 6

to the

VANGUARD HEALTH SYSTEMS, INC.
2004 STOCK INCENTIVE PLAN

            The first sentence of Section 3 of the above-referenced Plan is deleted in its entirety and replaced with the following new sentence:

                        “The total number of Shares which may be issued under the Plan is 105,611.”