Vanguard Health Systems, Inc. (Vanguard) is an operator of healthcare delivery networks with presence in various urban and suburban markets. As of June 30, 2012, the Company had 28 acute care and specialty hospitals with 7,064 beds with outpatient facilities and related businesses, which allow it to provide a range of inpatient and outpatient services in the communities it serves. The Company�s general acute care and specialty hospitals offer a variety of medical and surgical services, including emergency services, general surgery, internal medicine, cardiology, obstetrics, orthopedics and neurology, as well as tertiary services such as open-heart surgery, advanced neurosurgery, level II and III neonatal intensive care and level 1 trauma at certain facilities. In addition, certain of its facilities provide on-campus and off-campus outpatient and ancillary services, including outpatient surgery, physical therapy, radiation therapy, diagnostic imaging and laboratory services.