EXHIBIT 4.5

                      AMENDMENT NO. 3 TO CREDIT AGREEMENT



          AMENDMENT NO. 3 dated as of November 27, 1995 to the Credit Agreement
dated as of September 11, 1995 among Vencor, Inc., the other Borrowers referred
to therein and the Banks, Co-Agents, LC Issuing Banks and Agents referred to
therein, as heretofore amended (the "Credit Agreement").

          WHEREAS terms defined in the Credit Agreement have the same respective
meanings when used herein;

          WHEREAS Vencor desires to (i) purchase shares of its own common stock
and/or (ii) purchase securities of Tenet Healthcare Corporation convertible into
or exchangeable for shares of Vencor's common stock; and

          WHEREAS Vencor has asked the Banks to amend Section 5.11 of the Credit
Agreement to permit Vencor to make the foregoing purchases for an aggregate
purchase price up to $50,000,000 without restricting Vencor's ability to make
any other Restricted Payments;

          NOW, THEREFORE, the undersigned parties hereto agree as follows:

          SECTION 1.  Restricted Payments. Section 5.11 of the Credit Agreement 
                      -------------------                             
is amended as follows:

          1.  Clause (d) of Section 5.11 is redesignated as clause (e) and the
word "and" at the end of clause (c) is deleted.

          2.  The following new clause (d) is added to Section 5.11 immediately
after clause (c):

          (d) payments after November 27, 1995 to (i) purchase common stock of
     Vencor and/or (ii) purchase securities of Tenet Healthcare Corporation
     convertible into or exchangeable for common stock of Vencor; provided that
                                                                  --------     
     the aggregate purchase price for all such common stock and securities
     purchased pursuant to this clause (d) shall not exceed $50,000,000; and

          3.  The reference in the proviso at the end of Section 5.11 to "clause
(c) or (d)" is changed to "clause (c), (d) or (e)".

          4.  The first page of the exhibit entitled "Calculation of Compliance
with Financial Covenants" included in Exhibit E to the Credit Agreement is
deleted and replaced by the first page of such exhibit attached hereto.

 
          SECTION 2.  Transactions with Affiliates.  The undersigned parties 
                      ----------------------------                  
hereby waive compliance with the provisions of Section 5.13 of the Credit
Agreement to the extent (and only to the extent) required to permit Vencor to
purchase directly from Tenet Healthcare Corporation any or all of the securities
convertible into or exchangeable for Vencor's common stock permitted to be
purchased pursuant to Section 5.11(d) of the Credit Agreement as amended hereby.

          SECTION 3.  Rights Otherwise Unaffected.  This Amendment is limited 
                      ---------------------------                             
to the matters expressly set forth herein. Except to the extent specifically
amended or waived hereby, all terms of the Credit Agreement shall remain in full
force and effect.

          SECTION 4.  Governing Law.  This Amendment shall be governed by and
                      -------------                                          
construed in accordance with the laws of the State of New York.

          SECTION 5.  Counterparts.  This Amendment may be signed in any number 
                      ------------                                       
of counterparts, each of which shall be an original, with the same effect as if
the signatures thereto and hereto were upon the same instrument.

          SECTION 6.  Effectiveness.  This Amendment shall become effective 
                      -------------                                         
when the Documentation Agent shall have received from each of the Required Banks
and each of the Borrowers either a counterpart hereof signed by such party or
telegraphic, telex or other written confirmation from such party that it has
signed a counterpart hereof.

          IN WITNESS WHEREOF, the undersigned parties have caused this Amendment
to be duly executed as of the date first above written.

                                   BORROWERS                      
                                   ---------                      
                                                                  
                                   VENCOR, INC.                   
                                                                  
                                                                  
                                                                  
                                   By:  /s/ Robert K. Schneider   
                                      --------------------------------   
                                   Name:  Robert K. Schneider     
                                   Title: Treasurer               
                                                                  
                                                                  
                                   FIRST HEALTHCARE CORPORATION   
                                                                  
                                                                  
                                                                  
                                   By:  /s/ Robert K. Schneider   
                                      --------------------------------   
                                   Name:  Robert K. Schneider      
                                   Title: Treasurer                
                                                                  
                 
                                       2


                                   NORTHWEST HEALTH CARE, INC.
 
                                   By:  /s/ Robert K. Schneider     
                                      --------------------------------     
                                   Name:  Robert K. Schneider       
                                   Title: Treasurer                 
                                                                    
                                                                    
                                   MEDISAVE PHARMACIES, INC.        
                                                                    
                                                                    
                                                                    
                                   By:  /s/ Robert K. Schneider     
                                      --------------------------------
                                   Name:  Robert K. Schneider       
                                   Title: Treasurer                 
                                                                    
                                                                    
                                   HILLHAVEN PROPERTIES, LTD.       
                                                                    
                                                                    
                                                                    
                                   By:  /s/ Robert K. Schneider     
                                      --------------------------------
                                   Name:  Robert K. Schneider       
                                   Title: Treasurer                 


                                   HILLHAVEN OF CENTRAL FLORIDA, INC.      
                                                                           
                                                                           
                                                                           
                                   By:  /s/ Robert K. Schneider            
                                      --------------------------------     
                                   Name:  Robert K. Schneider              
                                   Title: Treasurer                       
                                                                           
                                                                           
                                   NATIONWIDE CARE, INC.                   
                                                                           
                                                                           
                                                                           
                                   By:  /s/ Robert K. Schneider            
                                      --------------------------------     
                                   Name:  Robert K. Schneider              
                                   Title: Treasurer                        

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                                   BANKS                                     
                                   -----                                     
                                                                             
                                   BANK OF AMERICA NATIONAL TRUST            
                                     AND SAVINGS ASSOCIATION                 
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Ruth Z. Edwards                  
                                      --------------------------------       
                                   Name:  Ruth Z. Edwards                    
                                   Title: Vice President                    
                                                                             
                                                                             
                                                                             
                                   THE BANK OF NEW YORK                      
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Douglas Ober                     
                                      --------------------------------        
                                   Name:  Douglas Ober                       
                                   Title: Vice President                    
                                                                             
                                                                             
                                   CHEMICAL BANK                             
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Peter C. Eckstein                
                                      --------------------------------       
                                   Name:  Peter C. Eckstein                  
                                   Title: Vice President                    
                                                                             
                                                                             
                                   CREDIT SUISSE                             
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Harry R. Olsen                   
                                      --------------------------------       
                                   Name:  Harry R. Olsen                     
                                   Title: Member of Senior Management       
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Kristinn R. Kristinsson          
                                      --------------------------------
                                   Name:  Kristinn R. Kristinsson            
                                   Title: Associate                         
                                                                             
                                                                             
                                   MELLON BANK, N.A.                         
                                                                             
                                                                             
                                                                             
                                   By:  /s/ Marsha Wicker                    
                                      --------------------------------
                                   Name:  Marsha Wicker                      
                                   Title: Vice President                     

                                       4

 
                                   PNC BANK, KENTUCKY, INC.            
                                                                       
                                                                       
                                                                       
                                   By:  /s/ Todd D. Munson             
                                      --------------------------------
                                   Name:  Todd D. Munson               
                                   Title: Vice President                
                                                                       
                                                                       
                                   TORONTO-DOMINION (TEXAS), INC.      
                                                                       
                                                                       
                                                                       
                                   By:  /s/ Lisa Allison               
                                      -------------------------------- 
                                   Name:  Lisa Allison                 
                                   Title: Vice President               
                                                                       
                                                                       
                                   WACHOVIA BANK OF NORTH CAROLINA,    
                                     N.A.                              
                                                                       
                                                                       
                                                                       
                                   By:  /s/ Robert G. Brookby          
                                      -------------------------------- 
                                   Name:  Robert G. Brookby            
                                   Title: Executive Vice President      
                                                                       
                                                                       
                                   BANK OF LOUISVILLE AND TRUST        
                                     COMPANY                           
                                                                       
                                                                       
                                                                       
                                   By:  /s/ Roy L. Johnson, Jr.        
                                      -------------------------------- 
                                   Name:  Roy L. Johnson, Jr.          
                                   Title: Senior Vice President       
                                                                       
                                                                       
                                   BANK ONE, COLUMBUS, NA              
                                                                       
                                                                       
                                                                       
                                   By:  /s/ James Zook                 
                                      -------------------------------- 
                                   Name:  James Zook                   
                                   Title: Vice President               

                                       5

 
                                   FIRST UNION NATIONAL BANK OF NORTH       
                                     CAROLINA                               
                                                                            
                                                                            
                                                                            
                                   By:  /s/ Joseph H. Towell                
                                      --------------------------------
                                   Name:  Joseph H. Towell                  
                                   Title: Senior Vice President            
                                                                            
                                                                            
                                                                            
                                   FLEET BANK OF MASSACHUSETTS              
                                                                            
                                                                            
                                                                            
                                   By:  /s/ Ginger Stolzenthaler            
                                      --------------------------------      
                                   Name:  Ginger Stolzenthaler              
                                   Title: Vice President                   
                                                                            
                                                                            
                                   LTCB TRUST COMPANY                       
                                                                            
                                                                            

                                   By:  /s/ Rene O. LeBlanc                 
                                      --------------------------------
                                   Name:  Rene O. LeBlanc                   
                                   Title: Senior Vice President            
                                                                            
                                                                      
      
                                   MORGAN GUARANTY TRUST COMPANY            
                                     OF NEW YORK                            
                                                                            
                                                                            
                                   By:  /s/ Diana H. Imhof                  
                                      --------------------------------
                                   Name:  Diana H. Imhof                    
                                   Title: Vice President                   
                                                                            
                                                                            
                                                                            
                                   NATIONAL CITY BANK, KENTUCKY             
                                                                            
                                                                            
                                   By:  /s/ Deroy Scott                     
                                      --------------------------------      
                                   Name:  Deroy Scott                       
                                   Title: Vice President                    

                                       6

 
                                   NATIONSBANK, N. A.                      
                                                                           
                                                                           
                                                                           
                                   By:  /s/ Ashley M. Crabtree             
                                      --------------------------------
                                   Name:  Ashley M. Crabtree               
                                   Title: Vice President                    
                                                                           
                                                                           
                                   NBD BANK                                
                                                                           
                                                                           
                                                                           
                                   By:  /s/ Randall K. Stephens            
                                      --------------------------------     
                                   Name:  Randall K. Stephens              
                                   Title: Vice President                    
                                                                           
                                                                           
                                   U.S. BANK OF WASHINGTON NATIONAL        
                                     ASSOCIATION                           
                                                                           
                                                                           
                                                                           
                                   By:  /s/ Arnold J. Conrad               
                                        ------------------------------     
                                   Name:  Arnold J. Conrad                 
                                   Title: Vice President                     

                                       7

 
              CALCULATION OF COMPLIANCE WITH FINANCIAL COVENANTS
                            (Dollars in Thousands)
                                    [Date]


RESTRICTED PAYMENTS [Section 5.11]
- ----------------------------------


Restricted Payments Made Pursuant to Section 5.11(d):

     Cumulative amount in prior periods       $___________

     Current fiscal quarter                   $___________

     Total cumulative amount                  $___________

Restricted Payments Allowed
Pursuant to Section 5.11(d):                  $50,000,000


Restricted Payments Made
Pursuant to Section 5.11(e):

     Cumulative amount in prior periods       $___________

     Current fiscal quarter                   $___________

     Total cumulative amount                  $___________

Restricted Payments Allowed
Pursuant to Section 5.11(e):

     Base amount                              $20,000,000

     10% of cumulative Consolidated
     Net Income from October 1, 1995          $___________

     Net cash proceeds of common stock
     sold after Closing Date                  $___________

     Total allowable amount                   $___________

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