EXHIBIT 4.1     
                                                                                
                      COMMON STOCK                                              
                                                                                
                                                                                
   NUMBER      INCORPORATED UNDER THE LAWS                   SHARES             
CU              OF THE STATE OF DELAWARE                                        
                                                                                
                                                                                
             THIS CERTIFICATE IS TRANSFERABLE           CUSIP 922602 10 7       
                 IN CLEVELAND, OHIO OR IN                                       
                    NEW YORK, NEW YORK              SEE REVERSE FOR CERTAIN     
                                                          DEFINITIONS           
                                                                                
                                                                                
                            VENCOR, INC.                                        
                                                                                
                                                                                
             This Certifies that                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
             is the owner of                                                   

            FULLY-PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF

                             CERTIFICATE OF STOCK

               Vencor, Inc., transferable on the books of the Corporation       
             by the holder hereof in person or by duly authorized attorney      
   [SEAL]    upon surrender of this certificate properly endorsed. This         
             certificate is not valid unless countersigned and registered       
             by the Transfer Agent and Registrar.                               
                                                                                
               Witness the signatures of the duly authorized officers of        
             the Corporation.                                                   
                                                                                
               Dated                                    9-14-95                 
                                                                                
               Countersigned and Registered:                                    
                   NATIONAL CITY BANK                                           
                    (Cleveland, Ohio)   Transfer Agent                     
               By                       and Registrar,         [ILLEGIBLE]
                                                         Secretary     President
                                 Authorized Signature.


 
                                 VENCOR, INC.
                   TERMS AND PROVISIONS OF AUTHORIZED STOCK

     THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO 
REQUESTS THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, 
OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF OF THE
CORPORATION AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH 
PREFERENCES AND/OR RIGHTS. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE 
SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT.

     The following abbreviations, when used in the inscription on the face of 
this certificate, shall be construed as though they were written out in full 
according to applicable laws or regulations:

 
                                                
     TEN COM - as tenants in common               UNIF GIFT MIN ACT - __________ Custodian __________ 
     TEN ENT - as tenants by the entireties                             (Cust)               (Minor) 
     JT TEN  - as joint tenants with right                            under Uniform Gifts to Minors Act
               of survivorship and not as                             _________________________________
               tenants in common                                                   (State)
 

    Additional abbreviations may also be used though not in the above list.

     For value received, ____________________________________ hereby sell, 
assign and transfer unto 

PLEASE INSERT SOCIAL SECURITY OR OTHER
   IDENTIFYING NUMBER OF ASSIGNEE
______________________________________

________________________________________________________________________________

________________________________________________________________________________
Please print or typewrite name and address including postal zip code of assignee

________________________________________________________________________________

_________________________________________________________________________ Shares
of the capital stock represented by the within certificate,          
and do hereby irrevocably constitute and appoint
              -----------

_______________________________________________________________________ attorney
to transfer the said stock on the books of the within-named 
Corporation with full power of substitution in the premises.

Dated: ____________________________



                                       _________________________________________
                                       NOTICE: The signature to this assignment 
                                       must correspond with the name as written 
                                       upon the face of the certificate in 
                                       every particular without alteration or 
                                       enlargement or any change whatever.




                                       _________________________________________
                                       The signature should be guaranteed by an 
                                       eligible guarantor institution pursuant 
                                       to S.E.C. Rule 17Ad-15.


This certificate also evidences and entitles the holder hereof to certain rights
as set forth in a Rights Agreement between Vencor, Inc. and National City Bank, 
as Rights Agent, dated as of July 20, 1993 (the "Rights Agreement"), the terms 
of which are hereby incorporated herein by reference and a copy of which is on 
file at the principal executive offices of Vencor, Inc. Under certain 
circumstances, as set forth in the Rights Agreement, such Rights will be 
evidenced by separate certificates and will no longer be evidenced by this 
certificate. Vencor, Inc. will mail to the holder of this certificate a copy of 
the Rights Agreement without charge after receipt of a written request therefor.
Under certain circumstances set forth in the Rights Agreement, Rights issued to,
or held by, any Person who is, was or becomes an Acquiring Person or an 
Affiliate or Associate thereof (as defined in the Rights Agreement) and certain 
related persons, whether currently held by or on behalf of such Person or by any
subsequent holder, may become null and void.