EXHIBIT 99.4
                               OFFER TO EXCHANGE
                   8 5/8% SENIOR SUBORDINATED NOTES DUE 2007
                          FOR ANY AND ALL OUTSTANDING
                   8 5/8% SENIOR SUBORDINATED NOTES DUE 2007
                                       OF
                                  VENCOR, INC.
 
To Registered Holders and Depository
 Trust Company Participants:
 
We are enclosing herewith the material listed below relating to the offer by
Vencor, Inc. (the "Company"), a Delaware corporation, to exchange its 8 5/8%
Senior Subordinated Notes due 2007 (the "New Notes"), pursuant to an offering
registered under the Securities Act of 1933, as amended (the "Securities Act"),
for a like principal amount of its issued and outstanding 8 5/8% Senior
Subordinated Notes due 2007 (the "Old Notes") upon the terms and subject to the
conditions set forth in the Company's Prospectus, dated September   , 1997, and
the related Letter of Transmittal (which together constitute the "Exchange
Offer").
 
Enclosed herewith are copies of the following documents:
 
  1. Prospectus dated        , 1997;
 
  2. Letter of Transmittal;
 
  3. Notice of Guaranteed Delivery;
 
  4. Instruction to Registered Holder and/or Book-Entry Transfer Participant
  from Owner; and
 
  5. Letter which may be sent to your clients for whose account you hold Old
  Notes in your name or in the name of your nominee, to accompany the
  instruction form referred to in 4 above, for obtaining such client's
  instruction with regard to the Exchange Offer.
 
We urge you to contact your clients promptly. Please note that the Offer will
expire 5:00 p.m., New York City time, on          , 1997, unless extended.
 
The Offer is not conditioned upon any minimum number of Old Notes being
tendered.
 
Pursuant to the Letter of Transmittal, each holder of Old Notes will represent
to the Company that (i) the holder is not an "affiliate" of the Company, (ii)
any New Notes to be received by the holder are being acquired in the ordinary
course of its business, (iii) the holder has no arrangement or understanding
with any person to participate in a distribution (within the meaning of the
Securities Act) of New Notes to be received in the Exchange Offer, and (iv) if
the holder is not a broker-dealer, the holder is not engaged in, and does not
intend to engage in, a distribution (within the meaning of the Securities Act)
of such New Notes. If the tendering holder is a broker-dealer that will receive
New Notes for its own account in exchange for Old Notes, you will represent on
behalf of such broker-dealer that the Old Notes to be exchanged for the New
Notes were acquired by it as a result of market-making or other trading
activities, and acknowledge on behalf of such broker-dealer that it will
deliver a prospectus meeting the requirements of the Securities Act in
connection with any resale of such New Notes. By acknowledging that it will
deliver and by delivering a prospectus meeting the requirements of the
Securities Act in connection with any resale of such New Notes, such broker-
dealer is not deemed to admit that it is an "underwriter" within the meaning of
the Securities Act.
 
The enclosed Instruction to Registered Holder and/or Book-Entry Transfer
Participant from Owner contains an authorization by the beneficial owners of
the Old Notes for you to make the foregoing representations.
 
The Company will not pay any fee or commission to any broker or dealer or to
any other persons (other than the Exchange Agent) in connection with the
solicitation of tenders of Old Notes pursuant to the Offer. The

 
Company will pay or cause to be paid any transfer taxes payable on the transfer
of Old Notes to it, except as otherwise provided in Instructions of the
enclosed Letter of Transmittal.
 
Additional copies of the enclosed material may be obtained from the
undersigned.
 
                                        Very truly yours,
 
 
 
NOTHING CONTAINED HEREIN OR IN THE ENCLOSED DOCUMENTS SHALL CONSTITUTE YOU THE
AGENT OF VENCOR, INC. OR FIRST CHICAGO TRUST COMPANY OF NEW YORK OR AUTHORIZE
YOU TO USE ANY DOCUMENT OR MAKE ANY STATEMENT ON THEIR BEHALF IN CONNECTION
WITH THE EXCHANGE OFFER OTHER THAN THE DOCUMENTS ENCLOSED HEREWITH AND THE
STATEMENTS CONTAINED THEREIN.
 
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