EXHIBIT 10.11

                              Amendment Number 9

                     Vencor, Inc. Retirement Savings Plan

     WHEREAS Vencor, Inc. ("Sponsoring Employer") adopted the Vencor, Inc. 
Retirement Savings Plan ("Plan") effective as of January 1, 1986; and

     WHEREAS the Sponsoring Employer reserved the right to amend the Plan by 
action of its Board of Directors; and

     WHEREAS the Sponsoring Employer now desires to amend said Plan to make 
certain changes as a result of recent plan mergers;

     NOW, THEREFORE, the Plan is amended, effective January 1, 1996, except as 
otherwise indicated herein, in the following respects:

(1)  Section 1.28 is amended to read as follows:

     Section 1.28  Individual Account means the detailed record kept of the
                   amounts credited or charged to each Participant in accordance
                   with the terms hereof. Such Individual Account is comprised
                   of the following accounts: a Base Contribution Account, a
                   Profit Sharing Contribution Account, a Salary Redirection
                   Account, a Matching Contribution Account, a Prior Plan Salary
                   Redirection Account, if applicable, and a Prior Plan Employer
                   Contribution Account, if applicable.

(2)  New Subsection 1.45(g) is added to read as follows:

     (g)  Service with a predecessor employer will be credited to an employee as
          Service for the Employer as required pursuant to Code Section 414(a).
          For purposes of this Subsection, a predecessor employer is an employer
          who sponsored a plan qualified under Code Section 401(a) which is
          maintained by the Company.

(3)  New Section 1.53 is added to read as follows:

     Section 1.53  Prior Plan Employer Contribution Account means that portion
                   of a Participant's Individual Account attributable to (i) any
                   employer contributions and accumulated earnings allocated to
                   such Participant under the terms of a plan which has been
                   merged into this Plan (but does not include the Prior Plan)
                   and (ii) the Participant's proportionate share attributable
                   to his Prior Plan Employer Contribution Account, of the
                   Adjustments, reduced by any distributions from such Account.

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(4)  New Section 1.54 is added to read as follows:

     Section 1.54 Prior Plan Salary Redirection Account means that portion of a
                  Participant's Individual Account attributable to (i) any pre-
                  tax deferrals and accumulated earnings allocated to such
                  Participant under the terms of a plan which has been merged
                  into this Plan (but does not include the Prior Plan) and (ii)
                  the Participant's proportionate share attributable to his
                  Prior Plan Salary Redirection Account, of the Adjustments,
                  reduced by any distributions from such Account.

(5)  Section 2.3 is amended effective September 28, 1995, to read as follows:

     Section 2.3  Reemployment and Transfers
 
                  (a)  Termination of employment shall be deemed to occur when
                       an Employee has an interruption in continuity of his
                       employment by the Company. Such termination may have
                       resulted from retirement, death, voluntary or involuntary
                       termination of employment, unauthorized absence, or by
                       failure to return to active employment with the Company
                       or to retire by the date on which an authorized leave of
                       absence expired.

                  (b)  If an Employee who was not eligible to become a
                       Participant in the Plan during his prior period of
                       employment is reemployed, he shall be eligible to
                       participate in the Plan after he has met the requirements
                       of Section 2.1.

                  (c)  If an Employee who was a participant in the Plan during
                       his prior period of employment (or who had met the age
                       and service requirements of Section 2.1(a) but did not
                       remain employed until the applicable Entry Date) is
                       reemployed, he shall be eligible to again become a
                       Participant as of the date he again becomes an Employee.

                  (d)  If an Employee transfers employment from a non-adopting
                       employer to the Employer, the Employee shall become a
                       Participant under this Plan as of the date of transfer of
                       employment to the Employer provided he has been employed,
                       as of the date of transfer of employment, for six (6)
                       consecutive months calculated from his original date of
                       hire with the non-adopting employer. If the Employee who
                       transfers employment from a non-adopting employer to the
                       Employer has not been employed, as of the date of
                       transfer of employment, for at least six (6) consecutive
                       months

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                 calculated from his original date of hire with the non-adopting
                 employer, he shall become a Participant under this Plan upon
                 meeting the eligibility requirements of Section 2.1. calculated
                 from his original date of hire with the non-adopting employer.
                 For purposes of this Subsection, a non-adopting employer is an
                 entity which is part of the Company but which has not adopted
                 the Plan for the benefit of its employees.

(6)  Subsection 3.1(b) is amended to read as follows:

     (b)   Submission of Form. In order for Salary Redirection to commence on
           the appropriate date (the beginning of a payroll period), the Salary
           Redirection agreement must be received by the Committee at least
           thirty (30) days prior to the date Salary Redirection is to start, or
           as soon as the Salary Redirection agreement can administratively be
           implemented, or such shorter period as is administratively feasible.
           Notwithstanding the above, a terminated Participant who is reemployed
           and is eligible to participate upon reemployment may enter into a
           Salary Redirection agreement on his reemployment date to be
           applicable to Compensation earned on and after such date or as soon
           as the Salary Redirection agreement can administratively be
           implemented. In addition, an Employee who transfers employment from a
           non-adopting employer to an Employer and is eligible to participate
           upon his transfer may enter into a Salary Redirection agreement on
           his date of transfer to be applicable to Compensation earned after
           that date or as soon as the Salary Redirection agreement can
           administratively be implemented. In the event a Participant does not
           so elect when initially eligible, he may subsequently elect to have
           Salary Redirection made on his behalf commencing with the first day
           following the Valuation Date which is at least thirty (30) days after
           the date his election form is delivered to the Committee, or such
           shorter period as is administratively feasible. The Salary
           Redirection agreement shall be on a form provided by the Committee.
           Such agreement shall authorize the employer to reduce Compensation
           otherwise payable to the Participant during each pay period by the
           amount of Salary Redirection elected.

(7)  Section 4.2 is amended to read as follows:

     Section 4.2 Investment of Accounts

                 (a)   There shall be established the following Investment Funds
                       within the Trust Fund:

                       (1)   Fixed Income Fund - a fund consisting primarily of
                             fixed income obligations of the United States
                             government and

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                            its agencies and of companies other than the
                            Sponsoring Employer, in order to provide protection
                            of principal consistent with an attractive rate of
                            return.
                  
                       (2)  Equity Fund - a fund consisting primarily of equity
                            investments.
                  
                       (3)  Company Stock Fund - a fund consisting primarily of
                            shares of common stock of the Sponsoring Employer
                            and dividends and distributions attributable to
                            said common stock, plus temporary investments held
                            pending purchase of additional shares of common
                            stock of the Sponsoring Employer.
                  
                  (b)  Each Participant shall have the right to direct the
                       Committee to invest the cumulative balance in his
                       Individual Account attributable to Salary Redirection.
                       Prior Plan Salary Redirection Contributions. Prior Plan
                       Employer Contributions and current Salary Redirection in
                       increments of twenty-five percent (25%) in the
                       Investment Funds provided in Subsection (a) of this
                       Section. Such direction shall be made by giving the
                       direction to the Committee thirty (30) days prior to the
                       first day following any Valuation Date to be effective
                       on said first day following the Valuation Date.
                  
                  (c)  A Participant who does not make any election under this
                       Section shall have the Individual Account attributable
                       to Salary Redirection, Prior Plan Salary Redirection
                       Contributions, Prior Plan Employer Contributions and
                       current Salary Redirection made on his behalf invested
                       in the Fixed Income Fund.
                  
                  (d)  All cumulative and current contributions attributable to
                       Employer Contributions (including employer contributions
                       under the Prior Plan) and the Profit Sharing
                       Contribution Account shall be invested in the Company
                       Stock Fund.

(8)  New Section 3.9 is added to read as follows:

     Section 3.9  Qualified Nonelective Contributions

                  The Employer may, as of any Valuation Date, make a Qualified
                  Nonelective Contribution to the Trust Fund on behalf of any
                  Participant with a Prior Plan Employer Contribution Account or
                  Prior Plan Salary

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              Redirection Account in an amount equal to the surrender charges
              assessed by the insurer which held the assets in those accounts in
              the plan which was merged into this Plan. Such Qualified
              Nonelective Contributions shall be added to the Salary Redirection
              Accounts of those Participants in amounts equal to the allocation
              of the surrender charges to the Participant's combined Prior Plan
              Employer and Prior Plan Salary Redirection Accounts, shall be one
              hundred percent (100%) vested when made, subject to the same
              distribution rules as Salary Redirection Contribution, and shall
              be tested for nondiscrimination as Salary Redirection
              Contributions in accordance with the provisions of Section 3.5.

(9)  Subsection 5.6(b) is amended to read as follows:

     (b)  A Participant shall always be one hundred percent (100%) vested in the
          balance of his Salary Redirection Account, Prior Plan Salary
          Redirection Account and Base Contribution Account.

(10) Subsection 5.6(c) is amended to read as follows:

     (c)  Effective for Participants who terminate employment on or after 
          July 1, 1990, a Participant shall be vested in the balance
          attributable to his Prior Plan Employer Contribution Account, Matching
          Contribution Account and Profit Sharing Contribution Account based on
          years of Service as of his date of termination, in accordance with the
          following schedule:

                    Years of Service       Vested Percentage
                    ----------------       -----------------

                    Less than 1 year               0%
                    1 but less than 2             25%
                    2 but less than 3             50%
                    3 but less than 4             75%
                    4 years or more              100%

(11) Subsection 5.8(a) is amended to read as follows:

     (a)  A Participant or Beneficiary shall elect a distribution of the
          Individual Account in a single lump sum payment in cash as provided
          hereinafter. Notwithstanding the preceding sentence, a Participant may
          request that the Company Stock Fund be distributed in kind, provided
          that the Participant has at least one hundred (100) shares of
          Sponsoring Employer common stock in his Individual Account at the date
          of distribution. Any non-stock balance in his Company Stock Fund will
          be paid in cash and fractional shares will be paid in cash based on
          the fair market value of such fractional shares as of the date of
          distribution. In the event a

                                      -5-

 
           Participant elect to receive his Company Stock Fund in cash, the
           shares of Sponsoring Employer stock as of the date of distribution
           will be converted to cash based on the fair market value of such
           shares as of such date. Except as provided in Subsection (c) of this
           Section or Section 5.12, no other manner of distribution shall be
           provided. The request by the Participant or the Beneficiary shall be
           in writing and shall be filed with the Committee at least thirty (30)
           days before distribution is to be made. The Committee may not require
           a distribution without the consent of the Participant prior to his
           reaching Normal Retirement Age or, if the Participant is deceased,
           without the consent of his spouse, if the spouse is living and if the
           spouse is his Beneficiary, unless the vested value of the Individual
           Account is not more than three thousand five hundred dollars
           ($3,500). If the vested value of the Participant's Individual Account
           is less than three thousand five hundred dollars ($3,500), the
           benefits payable will be paid as soon as reasonably possible
           following the actual date of severance, notwithstanding lack of
           consent If the vested value of the Participant's Individual Account
           has been more than three thousand five hundred dollars ($3,500) at
           the time of any subsequent distribution, the value of the
           Participant's Individual Account will be deemed to be more than three
           thousand five hundred dollars ($3,500) at the time of any
           subsequent distribution for purposes of the consent requirements of
           this paragraph.


(12)  New Subsection 5.8(c) is added to read as follows:

      (c)  Notwithstanding anything in this Section to the contrary, in the case
           of a Participant who has a Prior Plan Salary Redirection Account or a
           Prior Plan Employer Contribution Account, the Participant may take
           distribution of his Prior Plan Salary Redirection Account or Prior
           Plan Employer Contribution Account at such time or in such other form
           as was provided in the plan (as in effects as of the date of
           transfer) from which the Prior Plan Salary Redirection Account or
           Prior Plan Employer Contribution Account was transferred.

(13)  New Section 5.12 is added to read as follows:

      Section 5.12   Joint and Survivor Options

                     (a)   This Section shall only apply to a Participant who
                           has a Prior Plan Employer Contribution Account and/or
                           a Prior Plan Salary Redirection Account that was
                           transferred as a result of a plan merger from a plan
                           that provided for an annuity form of distribution.

                     (b)   Qualified Joint and Survivor Annuity.  Except as
                           otherwise provided below, unless an optional form 
                           of benefit is selected


                                      -6-

 
          pursuant to a qualified election within the 90 day period ending on
          the date benefit payments would commence, a Participant's vested Prior
          Plan Employer Contribution Account and Prior Plan Salary Redirection
          Account will be paid in the form of a qualified joint and survivor
          annuity, and an unmarried Participant's benefit shall be paid in the
          form of a life annuity unless otherwise elected by the Participant. A
          qualified joint survivor annuity will not be applicable and this
          Section shall not apply if the following conditions are met:
          
          (1)   The Participant's vested Individual Account is payable in full,
                on the death of the Participant, to the Participant's surviving
                spouse, or if there is no surviving spouse, or if the surviving
                spouse has previously consented to the designation of a non-
                spouse Beneficiary in the manner prescribed under this Section,
                and
          
          (2)   Such Participant does not elect a payment of benefits in the
                form of a life annuity, and
          
          (3)   With respect to such Participant, such Plan is not a direct or
                indirect transfer of a Plan which is described in clause (i) or
                (ii) or Section 401(a)(11)(B) of the Code, or
          
          (4)   If the distribution is subject to the terms and conditions
                contained in Section 5.8 concerning the distribution of vested
                Individual Accounts of three thousand five hundred dollars
                ($3,500) or less.
          
     (b)  Qualified Pre-Retirement Survivor Annuity. Except as otherwise
          provided in this Subsection, unless an optional form of benefit has
          been selected within the election period pursuant to a qualified
          election, if a Participant dies before benefits have commenced, then
          the Participant's vested Prior Plan Employer Contribution Account and
          Prior Plan Salary Redirection Account shall be applied toward the
          purchase of an annuity for the life of the surviving spouse. Benefits
          will not be required to be paid in the form of a pre-retirement
          survivor annuity if the following conditions are met:
          
          (1)   The Participant's vested Individual Account is payable in full,
                on the death of the Participant, to the Participant's surviving
                spouse, or if there is no surviving spouse, or if

                                      -7-




 
                the surviving spouse has previously consented to the designation
                of a non-spouse Beneficiary in the manner prescribed under this
                Section, and

        (2)     Such Participant does not elect a payment of benefits in the
                form of a life annuity, and

        (3)     With respect to such Participant, such Plan is not a direct or
                indirect transfer of a Plan which is described in clause (i) or
                (ii) or Section 401(a)(11)(b) of the Code, and

        (4)     If the distribution is subject to the terms and conditions
                contained in Section 5.8 concerning the distribution of vested
                Individual Accounts of three thousand five hundred dollars
                ($3,500) or less

(c)     Election Period shall mean, for purposes of this Section, the period
        which begins on the first day of the Plan Year in which the Participant
        attains age thirty-five (35) and ends on the date of the Participant's
        death. If a Participant separates from service prior to the first day of
        the Plan Year in which age thirty-five (35) is attained, with respect to
        the Individual Account Balance as of the date of separation, the
        election period shall begin on the date of separation.

(d)     Early Retirement Age shall mean, for purposes of this Section, the
        earliest date on which, under the Plan, the Participant could elect to
        receive retirement benefits.

(e)     Qualified Election shall mean, for purposes of this Section, an election
        pursuant to this Subsection. A waiver of a qualified joint and survivor
        annuity or a qualified pre-retirement survivor annuity is permitted. The
        waiver must be in writing, must be executed by the Participant, must
        specify the Beneficiary and the optional form of benefit and must be
        consented to by the Participant's spouse. The spouse's consent to a
        waiver must be witnessed by a Plan representative or a notary public.
        Notwithstanding this consent requirement, if the Participant establishes
        to the satisfaction of a Plan representative that such written consent
        may not be obtained because there is no spouse or the spouse cannot be
        located, a waiver will be deemed a qualified election. Any consent
        necessary under this provision will be valid only with respect to the
        spouse who signs the consent, or in the event of a deemed qualified
        
                                      -8-


 
                election, the designated spouse. Additionally a revocation of a
                prior waiver may be made by a Participant without the consent of
                the spouse at any time before the commencement of benefits. The
                number of revocations shall not be limited.

           (f)  Qualified Joint and Survivor Annuity shall mean, for purposes of
                this Section, an annuity for the life of the Participant with a
                survivor annuity for the life of the spouse which is not less
                than fifty percent (50%) and not more than one hundred percent
                (100%) of the amount of the annuity which is payable during the
                joint lives of the Participant and the spouse and which is the
                amount of benefit which can be purchased with the Particpant's
                vested Prior Plan Employer Contribution Account and Prior Plan
                Salary Redirection Account.

           (g)  Qualified Pre-Retirement Survivor Annuity shall mean, for
                purposes of this Section, a survivor annuity for the life of the
                surviving spouse, the actuarial equivalent of which is not less
                than fifty percent (50%) of the vested Prior Plan Employer
                Contribution Account and Prior Plan Salary Redirection Account
                of the Participant as of the date of death, which may become
                payable as a result of the Participant's death prior to his
                Normal Retirement Date.

           (h)  Notice Requirements.

                (1)  In the case of a qualified joint and survivor annuity the
                     Committee shall provide each Participant no less than
                     thirty (30) days and no more than ninety (90) day prior to
                     the annuity starting date (or such other time as provided
                     by regulations or other pronouncements), a written
                     explanation of: (i) the terms and conditions of a qualified
                     joint and survivor annuity; (ii) the Participant's right to
                     make and the effect of an election to waive the qualified
                     joint and survivor annuity form of benefit; (iii) the
                     rights of a Participant's spouse; and (iv) the right to
                     make and the effect of a revocation of a previous election
                     to waive the qualified joint and survivor annuity.

                (2)  In the case of a qualified pre-retirement survivor annuity
                     the Committee shall provide each Participant within the
                     period beginning on the first day of the Plan Year in which
                     the Participant attains age thirty-two (32) and ending with

                                      -9-

 
                                the close of the Plan Year preceding the Plan
                                Year in which the Participants attains age
                                thirty-five (35), a written explanation of the
                                qualified pre-retirement survivor annuity in
                                such terms and in such manner as would be
                                comparable to the explanation provided for
                                meeting the requirement of a qualified joint and
                                survivor annuity. If a Participant enters the
                                Plan after the first day of the Plan Year in
                                which the Participant attained age thirty-two
                                (32), the Committee shall provide notice no
                                later than the close of the third Plan Year
                                succeeding the entry of the Participant in the
                                Plan.


                        (3)     Notwithstanding the other requirements of this
                                Section, the respective notices prescribed by
                                this Section need not be given to a Participant
                                if the Plan "fully subsidizes" the costs of a
                                qualified joint and survivor annuity or
                                qualified preretirement survivor annuity, and
                                the Participant cannot elect another form of
                                benefit. For purposes of this Section, the Plan
                                fully subsidizes the costs of a benefit if under
                                the Plan the failure to waive such a benefit by
                                a Participant would not result in a decrease in
                                any plan benefits with respect to such
                                Participant and would not result in increased
                                contributions from the Participant.

(14)    Subsection 6.1(a) is amended to read as follows:
        
        (a)     Except as otherwise provided in this Section, and upon proper
                written application of a Participant made at least thirty (30)
                days in advance of the withdrawal date, in such form as the
                Committee may specify, the Committee in its sole discretion may
                permit the Participant to withdraw a portion or all of the
                balance of his Salary Redirection Account and Prior Plan Salary
                Redirection Account (but only to the extent that he would have
                been permitted to withdraw his Prior Plan Salary Redirection
                Account based on hardship withdrawal, if it had not been
                transferred from the prior plan which was merged into this
                Plan); provided that earnings allocated to said account may not
                be withdrawn, Such withdrawal shall be based on the Valuation
                Date coincident with or immediately preceding the date of
                application plus contributions made to such Account since such
                Valuation Date.

(15)    New Section 6.2 is added to read as follows:

        Section 6.2     Prior Plan Employer Contribution Account Withdrawals

                        Upon proper written application in such manner and in
                        such form as the Committee may specify, a Participant
                        shall be permitted to withdraw a

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O:\TSS\VENCOR.AM9  March 20, 1996

 
                   portion or all of the balance of his Prior Plan Employer
                   Contribution Account and Prior Plan Salary Redirection
                   Account while employed determined as of the Valuation Date
                   coincident with or immediately preceding the date of
                   application but only to the extent that he would have been
                   permitted to withdraw the funds in the account if they had
                   not been transferred from the prior plan which was merged
                   into this Plan.

(16)  New Section 6.3 is added to read as follows:

      Section 6.3  Participant Loans

                   No Participant loans are permitted under this Plan. However,
                   to the extent that a plan that is merged into this plan has
                   loans outstanding, the outstanding loan balance and accrued
                   interest may be transferred to this Plan and segregated in
                   the Participant's Individual Account until repaid. The loan
                   shall be repaid and subject to the terms of the loan
                   agreement, including the provisions of the merged plan.

                           * * * * * * * * * * * * *

                                  SIGNATURES
                                  ----------

      IN WITNESS WHEREOF, the Sponsoring Employer has caused this Amendment 
Number 9 to be executed this the       day of                          , 1996, 
                                 -----        -------------------------
but effective January 1, 1996, except as otherwise indicated herein.

Attest:                                         Vencor, Inc.

                                                By
- -----------------------------                     ----------------------------
Secretary
                                                Title
                                                     -------------------------


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