Vanguard Health Systems (VHS) 10-Q 2009 Q3 Quarterly report

EXHIBIT 10.1

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION
DIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT

1. AMENDMENT NUMBER:     3	2.  CONTRACT NO.:      YH09-0001-07	3.  EFFECTIVE DATE OF CONTRACT:      May 1, 2009	4.  PROGRAM:      DHCM - ACUTE
5. CONTRACTOR/PROVIDER NAME AND ADDRESS: VHS Phoenix Health Plan, LLC 7878 N. 16th Street, Suite 105 Phoenix, Arizona  85020
6. PURPOSE OF AMENDMENT:  To amend Section B, Capitation Rates, effective May 1, 2009.

7.	THE CONTRACT REFERENCED ABOVE FOLLOWS
	To amend Section B, Capitation Rates, effective May 1, 2009.
NOTE:  Please sign and date all copies and then return one executed original to:                   Mark Held                                                                                                                                 Sr. Procurement Specialist                                                                                                                                 AHCCS Contracts                                                                                                                                 701 E. Jefferson St., MD 5700                                                                                                                                 Phoenix, AZ  85034
8.  EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT

9.  SIGNATURE OF AUTHORIZED REPRESENTATIVE:	10.  SIGNATURE OF AHCCCSA CONTRACTING OFFICER:
/a/ Nancy Novick	/s/ Pat Wathimson for Michael Veit
TYPED NAME:      NANCY NOVICK	MICHAEL VEIT
TITLE:                    CHIEF EXECUTIVE OFFICER	CONTRACTS & PURCHASING ADMINISTRATOR
DATE: 4/6/09	DATE: 3-30-09

SECTION B: CAPITATION RATES

The Contractor shall provide services as described in this contract. In consideration for these services, the Contractor
will be paid Contractor-specific rates per member per month for the term May 1, 200 through September 30,
2009. See attached revised rates.

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ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CAPITATION RATE SUMMARY – ACUTE RATES Phoenix Health Plan 5/1/2009-9/30/2009
Title XIX and KidsCare Rates 1:		TANF <1, M/F	TANF 1-13, M/F	TANF 14-44, F	TANF 14-44, M	TANF 45+, M/F	SSI w/ Med	SSI w/o Med	SFP	Maternity Delivery Supplement	Non-MED	MED
4	Apache/Coconino/Mohave/Navajo	$474.47	$111.58	$273.18	$157.95	$409.52	$161.19	$776.11	$19.02	$6,248.22	$578.66	$1,434.36
6	Yavapai	$507.50	$116.03	$270.46	$180.56	$427.88	$141.69	$758.61	$18.30	$6,871.52	$627.38	$1,160.64
8	Gila/Pinal	$578.37	$108.22	$256.73	$172.31	$358.20	$139.85	$737.91	$12.43	$6,594.24	$487.17	$1,673.46
10	Pima	$493.42	$101.61	$239.36	$127.59	$408.04	$146.24	$772.28	$21.96	$6,627.59	$492.92	$1,356.27
12	Maricopa	$550.49	$117.35	$241.92	$151.74	$422.47	$158.80	$749.25	$18.79	$6,694.65	$630.48	$1,423.69
PPC Rates:		TANF <1, M/F	TANF 1-13, M/F	TANF 14-44, F	TANF 14-44, M	TANF 45+, M/F	SSI w/ Med	SSI w/o Med			Non-MED	MED
4	Apache/Coconino/Mohave/Navajo	$1,190.99	$62.12	$264.37	$215.09	$439.52	$135.86	$405.68			$1,127.75	$7,407.25
6	Yavapai	$1,210.79	465.92	$262.35	$223.35	$442.10	$133.86	$407.50			$1.116/81	$7,418.82
8	Gila/Pinal	$1,200.37	$66.67	$253.25	$212.60	$444.30	$134.33	$407.29			$1,100.13	$7,521.76
10	Pima	$1,195.05	$56.40	$248.23	$197.36	$440.40	$132.96	$408.89			$889.79	$7,402.50
12	Maricopa	$1,221.70	$66.27	$256.92	$225.36	$448.09	$133.45	$426.87			$1,323.84	$7,696.96
Other Rates:		Option 1 Transplant	Option 2 Transplant
4	Apache/Coconino/Mohave/Navajo	$40.00	$40.00
6	Yavapai	$40.00	$40.00
8	Gila/Pinal	$40.00	$40.00
10	Pima	$40.00	$40.00
12	Maricopa	$40.00	$40.00

1. Rates have been adjusted for $50,000 Reinsurance Deductible