TENET HEALTHCARE CORP
S-3/A, 1995-12-12
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
   
   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON DECEMBER 12, 1995
    
 
                                                       REGISTRATION NO. 33-63451
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
 
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------
 
   
                                AMENDMENT NO. 2
                                       TO
                                    FORM S-3
    
 
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                             ---------------------
 
                          TENET HEALTHCARE CORPORATION
             (Exact name of registrant as specified in its charter)
 
<TABLE>
<S>                                      <C>
                NEVADA                                 95-2557091
    (STATE OR OTHER JURISDICTION OF                 (I.R.S. EMPLOYER
    INCORPORATION OR ORGANIZATION)                 IDENTIFICATION NO.)
</TABLE>
 
                              2700 COLORADO AVENUE
                         SANTA MONICA, CALIFORNIA 90404
                                 (310) 998-8000
  (ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE NUMBER, INCLUDING AREA CODE, OF
                   REGISTRANT'S PRINCIPAL EXECUTIVE OFFICES)
 
                              SCOTT M. BROWN, ESQ.
                             SENIOR VICE PRESIDENT,
                         SECRETARY AND GENERAL COUNSEL
                          TENET HEALTHCARE CORPORATION
                              2700 COLORADO AVENUE
                         SANTA MONICA, CALIFORNIA 90404
                                 (310) 998-8000
 (NAME, ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE NUMBER, INCLUDING AREA CODE,
                             OF AGENT FOR SERVICE)
                         ------------------------------
 
                        Copies of all communications to:
 
<TABLE>
<S>                                      <C>
        BRIAN J. MCCARTHY, ESQ.              RICHARD D. TRUESDELL, JR., ESQ.
 SKADDEN, ARPS, SLATE, MEAGHER & FLOM             DAVIS POLK & WARDWELL
  300 SOUTH GRAND AVENUE, SUITE 3400              450 LEXINGTON AVENUE
     LOS ANGELES, CALIFORNIA 90071              NEW YORK, NEW YORK 10017
            (213) 687-5000                           (212) 450-4000
</TABLE>
 
                           --------------------------
 
        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
   AS SOON AS PRACTICABLE AFTER THIS REGISTRATION STATEMENT BECOMES EFFECTIVE
                           --------------------------
 
    If  the  only securities  being registered  on this  Form are  being offered
pursuant to dividend or interest reinvestment plans, please check the  following
box.  / /
 
    If  any of the securities being registered on this Form are to be offered on
a delayed or continuous basis pursuant to  Rule 415 under the Securities Act  of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box.  / /
 
    If  this Form  is filed  to register  additional securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration statement  number  of  the  earlier
effective registration statement for the same offering.  / / ________________
    If  this Form  is a post-effective  amendment filed pursuant  to Rule 462(c)
under the Securities Act,  check the following box  and list the Securities  Act
registration  statement number  of the earlier  effective registration statement
for the same offering.  / / ________________
    If delivery of the prospectus is expected  to be made pursuant to Rule  434,
please check the following box.  /X/
                           --------------------------
 
   
                        CALCULATION OF REGISTRATION FEE
    
 
   
<TABLE>
<CAPTION>
                                                                                  PROPOSED MAXIMUM
                                                               PROPOSED MAXIMUM      AGGREGATE          AMOUNT OF
          TITLE OF EACH CLASS OF                AMOUNT TO       OFFERING PRICE        OFFERING         REGISTRATION
        SECURITIES TO BE REGISTERED           BE REGISTERED      PER NOTE(1)        PRICE(1)(2)           FEE(3)
<S>                                          <C>               <C>               <C>                 <C>
  % Exchangeable Subordinated Notes
 due 2005..................................    $350,000,000          100%           $350,000,000       $120,689.66
</TABLE>
    
 
   
(1)  Estimated  solely  for  the purpose  of  calculating  the  registration fee
    pursuant to Rule 457 under the Securities Act of 1933.
    
 
   
(2) Calculated pursuant to Rule 457(a)  promulgated under the Securities Act  of
    1933, as amended, based on an estimate of the maximum offering price.
    
 
   
(3) Of which $106,897 was previously paid and $13,792.66 is paid herewith.
    
 
    THE  REGISTRANT HEREBY  AMENDS THIS REGISTRATION  STATEMENT ON  SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A  FURTHER  AMENDMENT  WHICH SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT  SHALL THEREAFTER BECOME EFFECTIVE IN  ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT  OF 1933 OR  UNTIL THIS REGISTRATION  STATEMENT SHALL  BECOME
EFFECTIVE  ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A),
MAY DETERMINE.
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
Information   contained  herein  is  subject   to  completion  or  amendment.  A
registration statement  relating to  these securities  has been  filed with  the
Securities  and Exchange  Commission. These securities  may not be  sold nor may
offers to buy be accepted prior  to the time the registration statement  becomes
effective.  This  prospectus  shall  not  constitute an  offer  to  sell  or the
solicitation of an offer to buy nor shall there be any sale of these  securities
in any jurisdiction
in   which  such  offer,  solicitation  or  sale  would  be  unlawful  prior  to
registration  or  qualification   under  the   securities  laws   of  any   such
jurisdiction.
<PAGE>
   
                 SUBJECT TO COMPLETION, DATED DECEMBER 12, 1995
    
 
PROSPECTUS
                  , 1995
 
   
                                     [LOGO]
 
                          TENET HEALTHCARE CORPORATION
                                  $350,000,000
                    % EXCHANGEABLE SUBORDINATED NOTES DUE 2005
    
                   EXCHANGEABLE FOR SHARES OF COMMON STOCK OF
                                  VENCOR, INC.
                                 --------------
 
   
    The  Exchangeable Subordinated  Notes (the  "Notes") to  be issued  by Tenet
Healthcare Corporation, a Nevada corporation ("Tenet" or the "Company"), will be
exchangeable at the option of  the holder for shares  of common stock, $.25  par
value,  of Vencor, Inc. (the "Vencor Common Stock") owned by the Company, at any
time on  or after  November 6,  1997 and  prior to  maturity, unless  previously
redeemed,  at an exchange  rate (the "Exchange Rate")  of      shares per $1,000
principal amount of Notes (equivalent to an exchange price of $     per  share),
subject  to adjustment in certain  events and subject to  the Company's right to
pay an amount  in cash  equal to  the Market Price  (as defined  herein) of  the
shares  of Vencor Common Stock for which  such Notes are exchangeable in lieu of
delivery of such  shares. The Notes  will be exchangeable  prior to November  6,
1997 only in the event of a merger, consolidation or liquidation of Vencor, Inc.
pursuant to which the shares of Vencor Common Stock held by the Escrow Agent (as
defined  herein) are  converted into or  exchanged for cash  or other securities
registered under the Securities  Act of 1933. Interest  on the Notes is  payable
semiannually  on           and           of each year, commencing on           ,
1996. On December 8, 1995, the last reported sale price for Vencor Common  Stock
on  the New  York Stock  Exchange (where  it trades  under the  symbol "VC") was
$33.375 per share. The Notes have been approved for listing, subject to official
notice of issuance, on the New York Stock Exchange under the symbol "THC D 05."
    
 
   
    The Notes will  be redeemable, in  whole or in  part, at the  option of  the
Company,  at any time on or after           , 1998, at the redemption prices set
forth herein,  plus  accrued  and  unpaid  interest, if  any,  to  the  date  of
redemption.
    
 
    The  Notes are unsecured general obligations of the Company, subordinated in
right of payment to all existing and future Senior and Senior Subordinated  Debt
(as  defined herein) of the Company. The  indenture governing the Notes will not
restrict the  incurrence  of  Senior  and  Senior  Subordinated  Debt  or  other
indebtedness by the Company or its subsidiaries. As of August 31, 1995, on a pro
forma  basis  after giving  effect to  the issuance  and sale  of the  Notes and
certain  other  transactions  described   herein  under  "Pro  Forma   Financial
Information,"  the aggregate outstanding  principal amount of  Senior and Senior
Subordinated Debt would have been  approximately $3.1 billion. In addition,  the
Notes will be effectively subordinated to all indebtedness and other obligations
of  the Company's subsidiaries,  which on a  pro forma basis  as described above
would have been approximately $1.4 billion  at August 31, 1995 (excluding  trade
payables of $257.6 million at August 31, 1995).
 
    SEE  "RISK FACTORS" BEGINNING ON PAGE 10 FOR A DISCUSSION OF CERTAIN FACTORS
THAT SHOULD BE CONSIDERED BY  PROSPECTIVE INVESTORS IN EVALUATING AN  INVESTMENT
IN THE NOTES.
 
THESE  SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
   EXCHANGE COMMISSION  OR  ANY STATE  SECURITIES  COMMISSION NOR  HAS  THE
     SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION
       PASSED  UPON THE ACCURACY  OR ADEQUACY OF  THIS PROSPECTUS. ANY
          REPRESENTATION  TO  THE  CONTRARY  IS  A  CRIMINAL  OFFENSE.
 
<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------
                                 PRICE          UNDERWRITING        PROCEEDS
                                 TO THE        DISCOUNTS AND         TO THE
                               PUBLIC (1)     COMMISSIONS (2)     COMPANY (3)
- --------------------------------------------------------------------------------
<S>                         <C>               <C>               <C>
Per Note..................         %                 %                 %
Total.....................         $                 $                 $
- --------------------------------------------------------------------------------
<FN>
(1)  PLUS ACCRUED INTEREST, IF ANY, FROM THE DATE OF ISSUANCE.
(2)    THE COMPANY  HAS  AGREED TO  INDEMNIFY  THE UNDERWRITERS  AGAINST CERTAIN
     LIABILITIES, INCLUDING LIABILITIES  UNDER THE  SECURITIES ACT  OF 1933,  AS
     AMENDED. SEE "UNDERWRITING."
(3)  BEFORE DEDUCTING EXPENSES PAYABLE BY THE COMPANY, ESTIMATED AT $800,000.
</TABLE>
 
    The  Notes are offered by the Underwriters,  subject to prior sale, when, as
and if issued to and accepted by the Underwriters, and subject to various  prior
conditions. The Underwriters reserve the right to withdraw, cancel or modify any
such  offer  and to  reject orders  in whole  or  in part.  It is  expected that
delivery of the Notes will be made in New York, New York  on or about          ,
1995, against payment therefor in immediately available funds.
 
DONALDSON, LUFKIN & JENRETTE                                 MERRILL LYNCH & CO.
       SECURITIES CORPORATION
<PAGE>
                             AVAILABLE INFORMATION
 
    Tenet   has  filed  with   the  Securities  and   Exchange  Commission  (the
"Commission")  a  Registration   Statement  on  Form   S-3  (the   "Registration
Statement") under the Securities Act of 1933, as amended (the "Securities Act"),
for  the  registration of  the Notes  (as defined  herein) offered  hereby. This
Prospectus, which constitutes  a part  of the Registration  Statement, does  not
contain  all of the information set forth in the Registration Statement, certain
items of  which are  contained in  exhibits and  schedules to  the  Registration
Statement  as  permitted by  the rules  and regulations  of the  Commission. For
further information with respect to the Company and the Notes, reference is made
to the Registration Statement, including the exhibits thereto, and the financial
statements and notes filed as a part thereof. Statements made in this Prospectus
concerning the contents of any contract, agreement or other document referred to
herein are  not  necessarily  complete.  With respect  to  each  such  contract,
agreement  or other document filed with  the Commission as an exhibit, reference
is made to the exhibit for a  more complete description of the matter  involved,
and  each  such statement  shall be  deemed  qualified in  its entirety  by such
reference.
 
    The Company is subject to  the informational requirements of the  Securities
Exchange  Act  of 1934,  as  amended (the  "Exchange  Act"), and,  in accordance
therewith, files  reports,  proxy  statements and  other  information  with  the
Commission.  The reports,  proxy statements and  other information  filed by the
Company with the Commission may be inspected and copied at the public  reference
facilities maintained by the Commission at Room 1024, Judiciary Plaza, 450 Fifth
Street,  N.W., Washington, D.C. 20549, and  at the Commission's regional offices
at Citicorp Center, 500 West Madison Street, Suite 1400, Chicago, Illinois 60661
and 7 World Trade Center, 13th Floor,  New York, New York 10048. Copies of  such
material  may be obtained from the Public Reference Section of the Commission at
Judiciary Plaza, 450 Fifth Street,  N.W., Washington, D.C. 20549, at  prescribed
rates.  The Company's Common Stock is listed on the New York Stock Exchange (the
"NYSE") and  the Pacific  Stock Exchange  (the "PSE")  under the  symbol  "THC."
Reports,  proxy statements  and other  information filed  by the  Company may be
inspected at the  offices of the  NYSE at 20  Broad Street, New  York, New  York
10005  and  at  the  offices of  the  PSE  at 301  Pine  Street,  San Francisco,
California 94104.
 
                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
 
   
    The following documents filed by the Company with the Commission pursuant to
the Exchange  Act (File  No.  1-7293) are  incorporated  in this  Prospectus  by
reference  and are made  a part hereof: (i)  Annual Report on  Form 10-K for the
fiscal year ended May  31, 1995, filed  with the Commission  on August 25,  1995
(the  "Tenet 10-K"); (ii) Quarterly Report on Form 10-Q for the quarterly period
ended August  31, 1995  filed with  the Commission  on October  13, 1995;  (iii)
Current  Reports  on Form  8-K filed  with the  Commission on  July 7,  1995 and
October 2, 1995;  (iv) the portions  of Tenet's Proxy  Statement for the  Annual
Meeting of Shareholders held on September 27, 1995, filed with the Commission on
August  25, 1995 that have  been incorporated by reference  into the Tenet 10-K;
and (v) the  portions of Tenet's  Annual Report to  Shareholders for the  fiscal
year  ended May 31, 1995 filed with the Commission on October 30, 1995 that have
been incorporated by reference into the Tenet 10-K.
    
 
    The following documents  filed by  American Medical  Holdings, Inc.  ("AMH")
(File  No. 1-10511) and  American Medical International,  Inc. ("AMI") (File No.
1-7612) with the  Commission pursuant to  the Exchange Act  are incorporated  in
this  Prospectus by reference and  are made a part  hereof: (i) Annual Report on
Form 10-K for the fiscal year ended  August 31, 1994, filed with the  Commission
on  November 22, 1994 (the "AMH/AMI 10-K");  (ii) Amendments to the AMH/AMI 10-K
on Form 10-K/A filed with the Commission  on December 20, 1994, January 5,  1995
and  January 6, 1995; and (iii) Quarterly Reports on Form 10-Q for the quarterly
periods ended November 30, 1994 and February 28, 1995 filed with the  Commission
on January 18, 1995 and April 14, 1995, respectively.
 
    All  documents filed by the Company  with the Commission pursuant to Section
13(a), 13(c), 14 or  15(d) of the  Exchange Act subsequent to  the date of  this
Prospectus  and prior to the termination of  the offering of the securities made
hereby shall be deemed to be incorporated by reference in this Prospectus and to
be a part hereof from  the date of the filing  of such documents. Any  statement
contained  in a  document incorporated  or deemed  to be  incorporated herein by
reference shall be  deemed to  be modified or  superseded for  purposes of  this
Prospectus  to the  extent that  a statement  contained herein  or in  any other
subsequently  filed  document  which  also  is  incorporated  or  deemed  to  be
incorporated by reference herein modifies or supersedes such statement. Any such
statement  so modified or superseded shall not  be deemed, except as so modified
or superseded, to constitute a part of this Prospectus.
 
    The Company  will  provide without  charge  to each  person,  including  any
beneficial  owner, to  whom this Prospectus  is delivered, upon  oral or written
request, a copy of any or all of the documents incorporated herein by  reference
(other  than exhibits to  such documents, unless  such exhibits are specifically
incorporated by  reference in  such documents).  Written or  telephone  requests
should  be directed to Tenet Healthcare Corporation, 2700 Colorado Avenue, Santa
Monica,  California  90404,  Attention:  Scott  M.  Brown,  Esq.,  Senior   Vice
President, Secretary and General Counsel (telephone (310) 998-8000).
 
    IN  CONNECTION WITH THIS OFFERING, THE UNDERWRITERS MAY OVER-ALLOT OR EFFECT
TRANSACTIONS WHICH STABILIZE OR MAINTAIN THE MARKET PRICE OF THE NOTES AT LEVELS
ABOVE THOSE WHICH MIGHT OTHERWISE PREVAIL IN THE OPEN MARKET. SUCH  TRANSACTIONS
MAY  BE EFFECTED ON THE NEW YORK  STOCK EXCHANGE OR OTHERWISE. SUCH STABILIZING,
IF COMMENCED, MAY BE DISCONTINUED AT ANY TIME.
 
                                       2
<PAGE>
                               PROSPECTUS SUMMARY
 
    THE FOLLOWING SUMMARY IS QUALIFIED IN ITS ENTIRETY BY, AND SHOULD BE READ IN
CONJUNCTION  WITH,  THE MORE  DETAILED INFORMATION  APPEARING ELSEWHERE  IN THIS
PROSPECTUS OR INCORPORATED  HEREIN BY  REFERENCE. UNLESS  THE CONTEXT  OTHERWISE
REQUIRES,  THE TERMS "TENET" OR "COMPANY"  REFER TO TENET HEALTHCARE CORPORATION
(FORMERLY KNOWN AS NATIONAL MEDICAL ENTERPRISES, INC.) AND ITS SUBSIDIARIES  AND
THEIR RESPECTIVE OPERATIONS.
 
                                  THE COMPANY
 
    Tenet   is  an  investor-owned  healthcare  company  that  operates  general
hospitals and related healthcare facilities serving primarily urban areas in  13
states  and holds  investments in  other healthcare  companies. At  November 30,
1995, Tenet  operated 75  domestic general  hospitals, with  a total  of  16,834
licensed  beds,  located  in Alabama,  Arkansas,  California,  Florida, Georgia,
Indiana,  Louisiana,  Missouri,  Nebraska,   North  Carolina,  South   Carolina,
Tennessee  and Texas. Tenet grew from an operator of 35 general hospitals at May
31, 1994,  to  an  operator  of 75  general  hospitals  and  related  healthcare
facilities at November 30, 1995, principally through its acquisition of American
Medical  Holdings, Inc. ("AMH").  That acquisition was  accomplished on March 1,
1995, when a subsidiary of  Tenet was merged into AMH,  leaving AMH as a  wholly
owned subsidiary of Tenet (the "Merger").
 
    At  November  30, 1995,  Tenet also  operated six  rehabilitation hospitals,
seven long-term care facilities and  five psychiatric facilities located on  the
same  campus as,  or nearby, Tenet's  general hospitals, in  addition to various
ancillary healthcare operations.
 
   
    Tenet also held investments in  the following other healthcare companies  at
November  30, 1995: (i)  an approximately 11.8% voting  interest in Vencor, Inc.
("Vencor"), a publicly traded company listed on the New York Stock Exchange (the
"NYSE") that,  according  to  its  publicly  available  documents,  operates  an
integrated  network of healthcare services primarily focused on the needs of the
elderly, (ii) an approximately 42% interest in Westminster Health Care  Holdings
PLC, a publicly traded company listed on the London Stock Exchange that operated
78  long-term care facilities and was the second-largest long-term care provider
in the United Kingdom at November 30, 1995, (iii) an approximately 13%  interest
in  Total Renal Care Holdings, Inc. ("TRC"), a publicly traded company listed on
the NYSE that operated  65 free-standing kidney dialysis  units in 10 states  at
November  30,  1995,  and (iv)  an  approximately  23% interest  in  Health Care
Property Partners, a  partnership originally  formed by the  Company and  Health
Care  Property Investors, Inc. The Company acquired  its interest in Vencor as a
result of  the September  28,  1995, merger  between  Vencor and  The  Hillhaven
Corporation  ("Hillhaven").  Prior to  that  transaction, the  Company  owned an
approximately 26% interest in  Hillhaven. As a result  of that transaction,  the
Company's  shares of common stock, $.75  par value, of Hillhaven (the "Hillhaven
Common  Stock")   were  exchanged   for  Vencor   Common  Stock.   See   "Recent
Developments."
    
 
    The  Company's  principal executive  offices  are located  at  2700 Colorado
Avenue, Santa  Monica,  California 90404,  and  its telephone  number  is  (310)
998-8000.
 
                                     VENCOR
 
    According  to  Vencor's  publicly available  documents,  Vencor,  a Delaware
corporation, operates  an integrated  network of  healthcare services  primarily
focused  on the  needs of  the elderly. Vencor  is subject  to the informational
requirements of  the  Exchange Act.  Accordingly,  Vencor files  reports,  proxy
statements  and other information  with the Commission.  Copies of such reports,
proxy statements  and other  information  may be  inspected  and copied  at  the
Commission  locations listed under "Available Information" and at the offices of
the NYSE, 20 Broad Street, New York, New York 10005.
 
    At November 30, 1995,  the Company owned 8,301,067  shares of Vencor  Common
Stock  which represented  approximately 11.8%  of the  outstanding Vencor Common
Stock, with sole voting and investment  power over all such shares. The  Company
believes  that it  is not  an affiliate of  Vencor. The  Company currently holds
certain registration rights in connection with the shares of Vencor Common Stock
that it  owns. Pursuant  to the  terms  of the  indenture governing  the  Notes,
however, the Notes are not exchangeable,
 
                                       3
<PAGE>
   
except  under certain circumstances, into shares of Vencor Common Stock owned by
Tenet until November 6, 1997. Accordingly, as a subsequent sale of Vencor Common
Stock would  then be  permitted under  certain exemptions  to registration,  the
Company  does  not  anticipate  exercising  such rights.  In  the  event  that a
registration statement were  required to  effectuate a conversion  of the  Notes
offered  hereby into Vencor Common Stock, and the Company elects not to exercise
its option  to  satisfy the  exchange  right in  cash,  the Company  would  then
exercise  such registration  rights. See  "Relationship Between  the Company and
Vencor."
    
 
    THIS PROSPECTUS RELATES ONLY TO THE NOTES OFFERED HEREBY AND DOES NOT RELATE
TO THE VENCOR  COMMON STOCK  OR TO  THE EXCHANGE OF  THE NOTES  INTO THE  VENCOR
COMMON  STOCK. ALTHOUGH  THE COMPANY  HAS NO  REASON TO  BELIEVE THE INFORMATION
CONCERNING VENCOR INCLUDED HEREIN OR IN VENCOR'S PUBLICLY AVAILABLE DOCUMENTS IS
NOT RELIABLE,  IT HAS  NOT VERIFIED  EITHER ITS  ACCURACY OR  ITS  COMPLETENESS.
NEITHER  THE COMPANY NOR  THE UNDERWRITERS WARRANT THAT  THERE HAVE NOT OCCURRED
EVENTS, NOT  YET PUBLICLY  DISCLOSED BY  VENCOR, THAT  WOULD AFFECT  EITHER  THE
TRADING  PRICE OF THE VENCOR COMMON STOCK OR THE ACCURACY OR THE COMPLETENESS OF
ANY STATEMENTS  CONCERNING  VENCOR  INCLUDED  HEREIN  OR  IN  VENCOR'S  PUBLICLY
AVAILABLE DOCUMENTS.
 
                              RECENT DEVELOPMENTS
 
GENERAL HOSPITAL ACQUISITIONS AND DEVELOPMENTS
 
   
    In  July 1995, Tenet acquired a one-third  interest in St. Clair Hospital, a
not-for-profit general  hospital  with  82  licensed  beds  located  outside  of
Birmingham,  Alabama. In  August 1995,  Tenet acquired  for approximately $222.6
million  in  cash   the  Mercy+Baptist  Medical   Center  ("Mercy+Baptist"),   a
not-for-profit system of two general hospitals with an aggregate of 759 licensed
beds  located in  New Orleans, Louisiana,  and a related  physician practice. In
September  1995,  Tenet  acquired  for  approximately  $80.3  million  in   cash
(including  the  purchase  or  assumption  of  working  capital)  the Providence
Memorial Hospital ("Providence"), a  not-for-profit general hospital located  in
El  Paso, Texas.  Providence is  licensed for 471  general hospital  beds (34 of
which may be used  as skilled nursing  beds) and is  licensed for 30  additional
rehabilitation and subacute care beds. In October 1995, the Company entered into
a  long-term lease of the 49-bed  Medical Center of Manchester ("Manchester") in
central Tennessee,  and Manchester's  home health  business. In  November  1995,
Healthstar  Ultima - The  Arkansas Health System,  a joint venture  in which the
Company owns  an 80%  interest, acquired  the 104-bed  not-for-profit  Methodist
Hospital  In Jonesboro, a  general hospital located  in Jonesboro, Arkansas. The
Company utilized its Senior Revolving Debt (as defined herein) to finance  these
acquisitions.  In August  1995, Tenet  also entered  into an  agreement with the
Cleveland Clinic Florida to  develop a new 150-bed  general hospital in  western
Broward  County, Florida. Completion of that  project is subject to governmental
approvals.
    
 
DIVESTITURE OF INTERNATIONAL OPERATIONS
 
    During fiscal 1995,  Tenet's management concluded  that it would  be in  the
best  interests of  Tenet's shareholders  for the Company  to focus  on its core
business of operating domestic general hospitals. Consequently, the Company  has
sold  or has reached an agreement to sell substantially all of its international
operations.
 
    On June 28, 1995, Tenet sold its two Singapore hospitals to Parkway Holdings
Limited ("Parkway"). The net cash consideration Tenet received in the  Singapore
transaction was approximately $243.3 million, net of approximately $78.3 million
of debt of Tenet assumed by Parkway. On October 15, 1995, Tenet tendered its 52%
interest  in Australian  Medical Enterprises  Limited ("AME")  to Mayne Nickless
Limited ("Mayne Nickless")  for net  cash consideration  of approximately  $68.3
million,  pursuant to Mayne Nickless's tender offer  for all of AME's shares. In
addition, on October 3,  1995, Tenet sold  its 30% interest  in the Subang  Jaya
Medical   Centre  in  Malaysia  to  Tenet's   Malaysian  partner  for  net  cash
consideration of approximately $12.0 million. The Company used the net  proceeds
from  these sales  to repay  secured bank loans  under its  Credit Agreement (as
defined herein).
 
    Tenet also  has  reached  an agreement  to  sell  its 40%  interest  in  the
Bumrungrad  Medical Center  in Thailand  to its  Thai partner.  Tenet expects to
receive net cash consideration of approximately  $20.8 million from the sale  of
its holdings in Thailand during the third quarter of fiscal 1996.
 
                                       4
<PAGE>
VENCOR'S ACQUISITION OF HILLHAVEN
 
   
    On  September 28, 1995, Vencor acquired  Hillhaven pursuant to a transaction
approved by the shareholders  of each of Vencor  and Hillhaven on September  27,
1995.  As a result of the transaction,  the 8,878,147 shares of Hillhaven Common
Stock that had been owned by Tenet were exchanged for 8,301,067 shares of Vencor
Common Stock (at  an exchange ratio  of 0.935 Vencor  shares for each  Hillhaven
share).  In  addition,  Tenet  received  approximately  $91.8  million  for  its
Hillhaven Series C Preferred Stock and  Hillhaven Series D Preferred Stock.  The
proceeds  from the redemption  of the Hillhaven preferred  stock were applied to
repay secured bank loans under the Company's Credit Agreement.
    
 
SENIOR NOTES OFFERING
 
   
    On October 16, 1995, the Company  consummated an offering of $500.0  million
of  8 5/8% Senior Notes due 2003 (the "Senior Notes Offering"). The net proceeds
to the Company from  the Senior Notes Offering  of approximately $486.7  million
(after  deducting estimated expenses and underwriting discounts and commissions)
were used to repay secured bank loans under the Company's Credit Agreement.
    
 
                                       5
<PAGE>
                                  THE OFFERING
 
   
<TABLE>
<S>                                 <C>
Notes Offered.....................  $350,000,000 principal  amount  of       %  Exchangeable
                                    Subordinated Notes.
Maturity Date.....................  , 2005.
Interest Payment Dates............  and        , commencing          , 1996.
Exchange Rights...................  The  Notes  will be  exchangeable  for shares  of Vencor
                                    Common Stock  owned by  Tenet at  any time  on or  after
                                    November   6,  1997   and  prior   to  maturity,  unless
                                    previously   redeemed,   at   an   exchange   rate    of
                                    shares  of  Vencor  Common  Stock  per  $1,000 principal
                                    amount of Notes,  subject to adjustment  and subject  to
                                    the  Company's right to  pay an amount  in cash equal to
                                    the Market Price  of the shares  of Vencor Common  Stock
                                    for  which  such  Notes  are  exchangeable  in  lieu  of
                                    delivery  of  such  shares.  Accordingly,  each   $1,000
                                    principal   amount   of   Notes   is   exchangeable  for
                                    shares of Vencor  Common Stock,  subject to  adjustment,
                                    for  an aggregate of 8,301,067 shares. The Notes will be
                                    exchangeable prior to November 6, 1997 only in the event
                                    of a  merger,  consolidation or  liquidation  of  Vencor
                                    pursuant to which the shares of Vencor Common Stock held
                                    by  the Escrow Agent are converted into or exchanged for
                                    cash or other securities registered under the Securities
                                    Act.
Mandatory Redemption..............  None.
Optional Redemption...............  The Notes will be  redeemable, in whole  or in part,  at
                                    the  option  of  the Company  at  any time  on  or after
                                             , 1998  at  the  redemption  prices  set  forth
                                    herein, plus accrued and unpaid interest, if any, to the
                                    date of redemption.
Change of Control of Tenet........  Upon  a Change  of Control Triggering  Event (as defined
                                    herein), each holder  of Notes  will have  the right  to
                                    require  Tenet to repurchase such holder's Notes at 100%
                                    of the principal amount thereof, plus accrued and unpaid
                                    interest to the  date of  repurchase. The  terms of  the
                                    Company's Credit Agreement effectively will prohibit and
                                    the  indentures  governing  certain  Senior  and  Senior
                                    Subordinated  Debt  of  the  Company  may  prohibit  the
                                    Company from repurchasing Notes upon the occurrence of a
                                    Change  of  Control Triggering  Event.  There can  be no
                                    assurance that Tenet will  have the financial  resources
                                    to  repurchase the  Notes in  the event  of a  Change of
                                    Control Triggering Event, particularly if such Change of
                                    Control Triggering Event requires Tenet to refinance, or
                                    results in the acceleration of, other indebtedness.  See
                                    "Description  of the Credit  Agreement" and "Description
                                    of Notes--Repurchase at the Option of Holders."
Subordination.....................  The Notes will be  general unsecured obligations of  the
                                    Company,   subordinated  in  right  of  payment  to  all
                                    existing and future Senior and Senior Subordinated  Debt
                                    of  the Company. The Indenture  (as defined herein) will
                                    not  restrict  the  incurrence  of  Senior  and   Senior
                                    Subordinated  Debt or other  indebtedness by the Company
                                    or any of its subsidiaries. As of August 31, 1995, on  a
                                    pro  forma basis after giving effect to the issuance and
                                    sale  of  the  Notes  and  certain  other   transactions
                                    described    herein    under   "Pro    Forma   Financial
                                    Information," the aggregate outstanding principal amount
                                    of  Senior  and  Senior  Subordinated  Debt  would  have
</TABLE>
    
 
                                       6
<PAGE>
 
<TABLE>
<S>                                 <C>
                                    been  approximately $3.1 billion. In addition, the Notes
                                    will be effectively subordinated to all indebtedness and
                                    other obligations of  the Company's subsidiaries,  which
                                    on  a pro forma basis would have been approximately $1.4
                                    billion at August 31, 1995 (excluding trade payables  of
                                    $257.6  million  at  August 31,  1995).  See  "Pro Forma
                                    Financial Information."
Use of Proceeds...................  The net proceeds  to the  Company from the  sale of  the
                                    Notes  are  estimated  to be  approximately  $   million
                                    (after deducting  estimated  expenses  and  underwriting
                                    discounts  and commissions). The  Company intends to use
                                    all of such  net proceeds  to repay  secured bank  loans
                                    under  the  Company's  Credit  Agreement.  See  "Use  of
                                    Proceeds."
Vencor Common Stock...............  The Vencor Common Stock is  listed on the NYSE where  it
                                    trades under the symbol "VC."
</TABLE>
 
                                  RISK FACTORS
    See  "Risk  Factors" for  a  discussion of  certain  factors that  should be
considered by prospective  purchasers in  connection with an  investment in  the
Notes offered hereby.
 
                                       7
<PAGE>
                    SUMMARY PRO FORMA FINANCIAL INFORMATION
 
    The following table presents summary pro forma financial information derived
from  the Unaudited Pro  Forma Condensed Combined  Financial Statements included
elsewhere in  this  Prospectus.  The  Unaudited  Pro  Forma  Condensed  Combined
Financial  Statements give effect to the following transactions and events as if
they had occurred as of June 1, 1994 for purposes of the pro forma statement  of
operations  and other operating information and  on August 31, 1995 for purposes
of the pro forma balance sheet data:  (i) the August 1994 sale of  approximately
75%  of the common stock  of TRC; (ii) the  elimination of restructuring charges
recorded by Tenet; (iii) the elimination  of nonrecurring gains on disposals  of
facilities  and long-term investments recorded by Tenet; (iv) the elimination of
nonrecurring merger costs recorded  by AMH prior to  the Merger; (v) the  Merger
and  related transactions, applying the purchase  method of accounting; (vi) the
acquisitions of Mercy+Baptist and  Providence; (vii) the June  28, 1995 sale  of
the  Company's  Mount  Elizabeth  Hospital,  East  Shore  Hospital  and  related
healthcare businesses in Singapore as  well as the October  3, 1995 sale of  the
Company's  holding  in Malaysia,  the  October 15,  1995  sale of  the Company's
holdings in  Australia  and the  probable  sale  of the  Company's  holdings  in
Thailand,  which  sale  currently  is pending;  (viii)  Vencor's  acquisition of
Hillhaven; (ix)  the consummation  of  the Senior  Notes  Offering and  (x)  the
consummation of this Offering.
 
    The  Unaudited  Pro Forma  Condensed  Combined Financial  Statements  do not
purport to present the financial position or results of operations of Tenet  had
the transactions and events assumed therein occurred on the dates specified, nor
are  they  necessarily  indicative of  the  results  of operations  that  may be
achieved in the future.
 
    The following Summary Pro Forma Financial Information for the quarter  ended
August  31, 1994  and the year  ended May 31,  1995 do not  reflect certain cost
savings that management  believes may  be realized as  a result  of the  Merger,
currently  estimated  to be  approximately $60.0  million annually  beginning in
fiscal 1996  (before  any  severance  or other  costs  of  implementing  certain
efficiencies).  These savings are expected to  be realized primarily through the
elimination of duplicative corporate overhead expenses, reduced supplies expense
through the  incorporation of  the acquired  AMH facilities  into the  Company's
group   purchasing  program,  and  improved   collection  of  the  acquired  AMH
facilities' accounts receivable. No assurances can  be made as to the amount  of
cost savings, if any, that actually will be realized.
 
    The Unaudited Pro Forma Condensed Combined Financial Statements are based on
certain  assumptions and  adjustments described  in the  Notes to  Unaudited Pro
Forma Condensed Combined  Financial Statements  included in  the Prospectus  and
should  be read  in conjunction therewith  and with  Management's Discussion and
Analysis and  the Consolidated  Financial Statements  of Tenet  and the  related
Notes thereto incorporated by reference herein.
 
    Tenet  reports its  financial information  on the basis  of a  May 31 fiscal
year. AMH reported its financial information on the basis of an August 31 fiscal
year.
 
                                       8
<PAGE>
                    SUMMARY PRO FORMA FINANCIAL INFORMATION
           (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS AND RATIOS)
 
<TABLE>
<CAPTION>
                                                                                 FISCAL      THREE MONTHS ENDED
                                                                                  YEAR           AUGUST 31,
                                                                                 ENDED      --------------------
                                                                              MAY 31, 1995    1994       1995
                                                                              ------------  ---------  ---------
<S>                                                                           <C>           <C>        <C>
STATEMENT OF OPERATIONS DATA:
  Net operating revenues....................................................   $  5,406.7   $ 1,327.4  $ 1,337.2
  Operating expenses:
    Salaries and benefits...................................................      2,167.2       533.7      527.1
    Supplies................................................................        779.4       189.6      195.4
    Provision for doubtful accounts.........................................        298.6        78.9       72.9
    Other operating expenses................................................      1,159.5       279.2      283.4
    Depreciation............................................................        239.7        59.0       62.0
    Amortization............................................................         77.5        19.2       19.2
                                                                              ------------  ---------  ---------
  Operating income..........................................................        684.8       167.8      177.2
  Interest expense, net of capitalized portion..............................       (320.0)      (79.1)     (77.5)
  Investment earnings.......................................................         19.3         4.2        5.4
  Equity in earnings of unconsolidated affiliates...........................         11.8         2.9        2.9
  Minority interest expense.................................................         (5.9)       (0.8)      (4.1)
                                                                              ------------  ---------  ---------
  Income from continuing operations before income taxes.....................        390.0        95.0      103.9
  Taxes on income...........................................................       (172.8)      (42.5)     (46.5)
                                                                              ------------  ---------  ---------
  Income from continuing operations.........................................   $    217.2   $    52.5  $    57.4
                                                                              ------------  ---------  ---------
                                                                              ------------  ---------  ---------
  Earnings per common share from continuing operations, fully diluted.......   $     1.05   $    0.25  $    0.27
  Weighted average number of shares outstanding (in 000's)..................      214,938     213,310    215,839
  Ratio of earnings to fixed charges (1)....................................         2.0x        2.0x       2.1x
 
OTHER OPERATING INFORMATION:
  EBITDA (2)................................................................   $  1,002.0   $   246.0  $   258.4
  EBITDA margin.............................................................        18.5%       18.5%      19.3%
  Ratio of EBITDA to net interest expense (3)...............................         3.3x        3.3x       3.6x
  Ratio of total debt to EBITDA (4).........................................         3.4x          --         --
  Capital expenditures......................................................   $    325.4   $    25.1  $    85.0
</TABLE>
 
<TABLE>
<CAPTION>
                                                                                                        AS OF
                                                                                                      AUGUST 31,
                                                                                                         1995
                                                                                                    --------------
<S>                                                                                                 <C>
BALANCE SHEET DATA:
  Working capital.................................................................................    $     63.7
  Total assets....................................................................................       8,023.4
  Long-term debt, net of current portion..........................................................       3,155.1
  Shareholders' equity............................................................................       2,207.6
<FN>
- ------------------------
(1)  The ratio of  earnings to fixed  charges is calculated  by dividing  income
     from  continuing operations before income taxes plus fixed charges by fixed
     charges. Fixed charges consist of interest expense, including  amortization
     of  financing  costs,  and that  portion  of  rental expense  deemed  to be
     representative of the interest component of rental expense.
(2)  EBITDA represents operating  income before  depreciation and  amortization.
     While  EBITDA should not be construed  as a substitute for operating income
     or  a  better  indicator  of  liquidity  than  cash  flows  from  operating
     activities,  which  are determined  in  accordance with  generally accepted
     accounting principles. See  the Consolidated  Statements of  Cash Flows  of
     Tenet  and AMH and  the related Notes thereto  incorporated by reference in
     this Prospectus. EBITDA, however, is included herein to provide  additional
     information  with respect to the ability of  the Company to meet its future
     debt service,  capital expenditure  and  working capital  requirements  and
     because  management believes that  certain investors find  it to be useful.
     EBITDA is not necessarily  a measure of the  Company's ability to fund  its
     cash needs.
(3)  Net of capitalized portion and net of pro forma investment earnings.
(4)  Represents  pro forma combined total debt outstanding at August 31, 1995 of
     $3,433.8 million divided by pro  forma combined EBITDA of $1,002.0  million
     for the fiscal year ended May 31, 1995.
</TABLE>
 
                                       9
<PAGE>
                                  RISK FACTORS
 
    PROSPECTIVE  INVESTORS SHOULD CONSIDER  CAREFULLY, IN ADDITION  TO THE OTHER
INFORMATION CONTAINED  OR  INCORPORATED BY  REFERENCE  IN THIS  PROSPECTUS,  THE
FOLLOWING FACTORS BEFORE PURCHASING THE NOTES OFFERED HEREBY.
 
LIMITED OPPORTUNITY FOR EQUITY APPRECIATION; COMPARISON TO OTHER DEBT SECURITIES
 
    The terms of the Notes differ from those of ordinary debt securities in that
the value that a holder of the Notes would receive should they elect to exercise
their  exchange rights  is not fixed,  but is based  on the price  of the Vencor
Common Stock.
 
    The opportunity for  equity appreciation  afforded by an  investment in  the
Notes  is  less than  the  opportunity for  equity  appreciation afforded  by an
investment in the Vencor Common Stock  because the amount receivable by  holders
of  the Notes upon exchange will only  exceed the principal amount of such Notes
if the price of  the Vencor Common Stock  appreciates   %  from the date of  the
Notes'  issuance. Because  the price  of the Vencor  Common Stock  is subject to
market fluctuations, the  exchange of  the Notes  into Vencor  Common Stock  may
never be in the economic best interest of the holder.
 
FLUCTUATION OF MARKET VALUE OF VENCOR COMMON STOCK
 
    It  is impossible to predict  whether the price of  Vencor Common Stock will
rise or  fall. Trading  prices of  Vencor  Common Stock  will be  influenced  by
Vencor's   operational  results  and  by  complex  and  interrelated  political,
economic, financial  and  other factors  that  can affect  the  capital  markets
generally,  the New York Stock Exchange (on which Vencor Common Stock is traded)
and the market segment of which Vencor is a part.
 
NO OBLIGATION ON THE PART OF VENCOR WITH RESPECT TO THE NOTES
 
    Vencor has no obligation with respect to the Notes or amounts to be paid  to
the  holders of the  Notes, including any obligation  to take into consideration
for any  reason the  needs of  the Company  or the  holders, other  than  normal
fiduciary  duties to Tenet as a shareholder.  Vencor will not receive any of the
proceeds  of  the  Offering  of  the  Notes  and  is  not  responsible  for  the
determination of the time of, prices for or quantities of the Notes to be issued
or the optional redemption of such Notes.
 
REDEMPTION AT THE COMPANY'S OPTION
 
   
    The  Notes will  be redeemable, in  whole or in  part, at the  option of the
Company, at any time on or after            , 1998, at the redemption prices set
forth herein,  plus  accrued  and  unpaid  interest, if  any,  to  the  date  of
redemption.
    
 
RESTRICTED ABILITY TO PARTICIPATE IN CERTAIN TRANSACTIONS
 
    The  Company will  not be  obligated to exchange  on a  voluntary basis (for
example, in the context of a cash  tender offer) any of the Vencor Common  Stock
for  cash, securities  or other property.  In certain situations,  this could be
detrimental to the interests of the holders of the Notes and might require  such
holders  to exchange their Notes  for shares of Vencor  Common Stock in order to
participate in any such voluntary exchange. In certain circumstances  including,
without  limitation, a cash merger of Vencor,  it is possible that the shares of
Vencor Common Stock which theretofore might  have been received in exchange  for
the  Notes will  no longer be  available for  exchange. In such  event, only the
cash, securities or other property received  upon the exchange of the shares  of
Vencor Common Stock (exclusive of any interest or dividends payable with respect
thereto)  will be available upon  exchange of the Notes  to the holders thereof,
unless the Company were to elect to satisfy an exchange with cash.
 
EVENT OF BANKRUPTCY; EFFECT ON HOLDERS' ABILITY TO EXERCISE EXCHANGE RIGHTS FOR
VENCOR COMMON STOCK
 
    The right of  a holder to  exchange its  Notes for shares  of Vencor  Common
Stock (or other securities, property or cash) could be adversely affected in the
event  of  the bankruptcy,  insolvency or  liquidation of  the Company.  In such
event, the shares of Vencor Common Stock (or other securities, property or cash)
could be deemed  to be  an asset of  the Company  subject to the  claims of  its
general creditors. See "Description of Notes -- Exchange Rights."
 
                                       10
<PAGE>
REGISTRATION OF VENCOR COMMON STOCK UNDER THE SECURITIES ACT
 
    The  Company has agreed  that at any  time that a  Holder of Notes exchanges
such Notes for shares  of Vencor Common  Stock owned by  Tenet and an  effective
registration   statement  of  Vencor  filed  with  the  Commission  (or  related
qualification under state  blue sky  or securities  laws) would  be required  in
order  for the Escrow Agent to deliver such shares of Vencor Common Stock in the
United States or to a United States Person, the Company will use its  reasonable
best  efforts to ensure that an effective registration statement of Vencor is on
file with the Commission covering the  delivery of such shares of Vencor  Common
Stock and any qualification under state blue sky or securities laws required for
such delivery is maintained and, in the event such registration statement is not
effective  or such qualification is not maintained, will direct the Escrow Agent
to pay such  Holder cash, in  lieu of  delivering such shares  of Vencor  Common
Stock, in accordance with the provisions of the Indenture.
 
RISKS AND UNCERTAINTIES ASSOCIATED WITH VENCOR'S BUSINESS
 
    Prospective  investors should  review Vencor's  publicly available documents
for a discussion  of the  risks and  uncertainties associated  with Vencor.  See
"Vencor."
 
ABSENCE OF COVENANT PROTECTION
 
    The  Indenture  will not  limit the  Company's  ability to  incur additional
indebtedness, or to  grant liens on  its assets to  secure indebtedness, to  pay
dividends  or to repurchase shares of its  capital stock. The Indenture does not
contain any provisions specifically intended to protect holders of the Notes  in
the event of a future highly leveraged transaction involving the Company.
 
SUBORDINATION; SUBSIDIARY OPERATIONS
 
    The  Notes will  be subordinated  in right  of payment  to all  existing and
future Senior and Senior Subordinated Debt and will be structurally subordinated
to all liabilities (including trade payables) of the Company's subsidiaries. The
Indenture will not  restrict the  incurrence of Senior  and Senior  Subordinated
Debt  or other indebtedness by the Company or its subsidiaries. As of August 31,
1995, on a pro forma basis after giving  effect to the issuance and sale of  the
Notes and certain other transactions, the aggregate outstanding principal amount
of  Senior  and  Senior Subordinated  Debt  would have  been  approximately $3.1
billion. See "Pro Forma Financial Information." By reason of such  subordination
of  the  Notes,  in  the  event  of  the  insolvency,  bankruptcy,  liquidation,
reorganization, dissolution or winding up of the business of the Company or upon
a default in payment with respect to any indebtedness of the Company or an event
of default  with respect  to  such indebtedness  resulting in  the  acceleration
thereof,  the assets of the Company will be  available to pay the amounts due on
the Notes only after all  Senior and Senior Subordinated  Debt has been paid  in
full.  The  Notes will  rank PARI  PASSU  in all  respects with  other unsecured
subordinated   obligations    of    the    Company.    See    "Description    of
Notes--Subordination."
 
    Since  substantially  all of  the  Company's operations  are  conducted, and
substantially all of  the assets of  Tenet are owned,  by its subsidiaries,  the
Notes (which are obligations of Tenet but not its subsidiaries) effectively will
be  subordinated to  all existing and  future obligations  and other liabilities
(including trade payables) of  Tenet's subsidiaries. Any right  of Tenet to  the
assets  of  any  of its  subsidiaries  upon the  liquidation,  reorganization or
insolvency of such subsidiary  (and the consequent right  of the holders of  the
Notes  to participate  in those  assets) will  be subject  to the  claims of the
creditors (including trade  creditors) and  preferred stockholders,  if any,  of
such  subsidiary, except to the extent Tenet has a claim against such subsidiary
as a creditor of such subsidiary. In addition, in the event that claims of Tenet
as a creditor of a subsidiary  are recognized, such claims would be  subordinate
to  any security interest in the assets  of such subsidiary and any indebtedness
of such subsidiary senior to  that held by Tenet. The  ability of Tenet and  its
subsidiaries  to  incur  certain  obligations  is  limited  by  certain  of  the
restrictive  covenants  contained   in  the   Credit  Agreement.   Additionally,
borrowings  under the Credit Agreement  are secured by a  first priority lien on
the capital  stock  of  the  Company's  direct  subsidiaries,  all  intercompany
indebtedness  owed to the Company and  one of the Company's subsidiaries' equity
investments, and  have  priority as  to  such  collateral over  the  Notes.  The
Indenture  will  not  limit  the  ability  of  subsidiaries  of  Tenet  to incur
additional indebtedness.
 
                                       11
<PAGE>
    In addition,  Tenet's  ability  to  make  required  principal  and  interest
payments  with respect to Tenet's indebtedness,  including the Notes, depends on
the earnings of its subsidiaries. Since the Notes are obligations of Tenet only,
Tenet's subsidiaries  are not  obligated  or required  to  pay any  amounts  due
pursuant  to  the Notes  or  to make  funds available  therefor  in the  form of
dividends or advances to Tenet.
 
CERTAIN FINANCING CONSIDERATIONS; LEVERAGE
 
   
    As of  August  31,  1995,  Tenet's  total  indebtedness  was  $3.5  billion,
constituting  62.5%  of  its total  capitalization,  including  short-term debt.
Approximately 33.7% of  Tenet's total  assets as  of such  date were  intangible
assets.  The excess of Tenet's  liabilities over its tangible  assets as of such
date was  $549.1 million  at August  31,  1995. See  "Historical and  Pro  Forma
Capitalization."
    
 
    Tenet's  Credit Agreement includes covenants  prohibiting or limiting, among
other things,  the  sale  of  assets,  the  making  of  acquisitions  and  other
investments,  capital expenditures, the incurrence  of additional debt and liens
and the payment of  dividends, in addition to  a minimum consolidated net  worth
requirement   and  certain  ratio  coverage  tests  including  debt  ratios  and
fixed-charge ratios. In  addition, the indentures  governing certain Senior  and
Senior  Subordinated Debt  include, among  other things,  covenants limiting the
incurrence of additional debt  and liens and the  payment of dividends.  Tenet's
failure  to  comply with  any of  these covenants  could result  in an  event of
default under its indebtedness, including the Notes, which in turn could have  a
material adverse effect on Tenet.
 
    The degree to which Tenet is leveraged and the covenants described above may
adversely  affect Tenet's  ability to  finance its  future operations  and could
limit its ability to pursue business opportunities that may be in the  interests
of  Tenet and its securityholders. In particular, changes in medical technology,
existing, proposed and  future legislation, regulations  and the  interpretation
thereof,  and the increasing importance of managed care contracts and integrated
healthcare delivery systems  may require significant  investment in  facilities,
equipment,  personnel or services. There can be  no assurance that Tenet will be
able to  obtain  the funds  necessary  to make  such  investments.  Furthermore,
tax-exempt  or  government-owned competitors  have certain  financial advantages
such as endowments, charitable contributions, tax-exempt financing and exemption
from sales, property  and income taxes  not available to  Tenet, providing  them
with a potential competitive advantage in making such investments.
 
COMPETITION
 
    The  healthcare industry has been characterized in recent years by increased
competition for  patients  and  staff physicians,  excess  capacity  at  general
hospitals,   a  shift  from  inpatient  to  outpatient  settings  and  increased
consolidation. The principal factors contributing  to these trends are  advances
in   medical  technology,  cost-containment  efforts  by  managed  care  payors,
employers  and  traditional   health  insurers,  changes   in  regulations   and
reimbursement policies, increases in the number and type of competing healthcare
providers  and changes  in physician  practice patterns.  Tenet's future success
will depend, in part, on the ability  of the Company's hospitals to continue  to
attract  staff physicians, to enter into  managed care contracts and to organize
and structure  integrated  healthcare  delivery systems  with  other  healthcare
providers  and physician practice groups. There can be no assurance that Tenet's
hospitals will  continue to  be able,  on  terms favorable  to the  Company,  to
attract  physicians to their staffs, to enter  into managed care contracts or to
organize and structure integrated healthcare  delivery systems, for which  other
healthcare  companies  with  greater financial  resources  or a  wider  range of
services may be competing.
 
    Tenet's ability to continue to compete successfully for such contracts or to
form or participate in  such systems also may  depend upon, among other  things,
Tenet's  ability to increase  the number of its  facilities and services offered
through the  acquisition of  hospitals, groups  of hospitals,  other  healthcare
businesses,  ancillary healthcare  providers, physician  practices and physician
practice assets and Tenet's ability to  finance such acquisitions. There can  be
no  assurance that suitable  acquisitions, for which  other healthcare companies
with  greater  financial  resources  than   Tenet  may  be  competing,  can   be
accomplished on terms favorable to Tenet or that financing, if necessary, can be
obtained   for  such  acquisitions.  See  "--Certain  Financing  Considerations;
Leverage." There  can  be  no assurance  that  Tenet  will be  able  to  operate
profitably any hospitals, facilities, businesses or other assets it may acquire,
effectively  integrate the operations of  such acquisitions or otherwise achieve
the intended benefits of such acquisitions.
 
                                       12
<PAGE>
LIMITS ON REIMBURSEMENT
 
    Tenet derives  a substantial  portion  of its  net operating  revenues  from
third-party  payors, including  the Medicare  and Medicaid  programs. Changes in
government reimbursement programs have resulted in limitations on increases  in,
and  in some cases in reduced  levels of, reimbursement for healthcare services,
and additional changes  are anticipated. Such  changes are likely  to result  in
further  limitations  on  reimbursement  levels.  In  addition,  private payors,
including  managed  care  payors,  increasingly  are  demanding  discounted  fee
structures  or the assumption by healthcare providers of all or a portion of the
financial risk through prepaid  capitation arrangements. Inpatient  utilization,
average  lengths of stay and occupancy  rates continue to be negatively affected
by payor-required  pre-admission authorization  and  utilization review  and  by
payor  pressure  to  maximize  outpatient  and  alternative  healthcare delivery
services for less acutely ill patients.  In addition, efforts to impose  reduced
allowances, greater discounts and more stringent cost controls by government and
other  payors are expected to continue. Although  Tenet is unable to predict the
effect these changes  will have  on its operations,  as the  number of  patients
covered  by managed  care payors increases,  significant limits on  the scope of
services reimbursed and on  reimbursement rates and fees  could have a  material
adverse effect on the financial results of such operations.
 
EXTENSIVE REGULATION
 
    The  healthcare industry  is subject to  extensive Federal,  state and local
regulation  relating  to   licensure,  conduct  of   operations,  ownership   of
facilities,  addition of  facilities and  services and  prices for  services. In
particular, Medicare and Medicaid antifraud and abuse amendments codified  under
Section  1128B(b)  of  the  Social  Security  Act  (the  "Antifraud Amendments")
prohibit certain  business practices  and relationships  that might  affect  the
provision  and  cost  of  healthcare services  reimbursable  under  Medicare and
Medicaid, including the payment or receipt  of remuneration for the referral  of
patients  whose care will be paid for  by Medicare or other government programs.
Sanctions for violating the Antifraud Amendments include criminal penalties  and
civil  sanctions, including fines  and possible exclusion  from the Medicare and
Medicaid programs. Pursuant  to the  Medicare and Medicaid  Patient and  Program
Protection  Act of 1987, the Department of Health and Human Services ("HHS") has
issued regulations that describe some of the conduct and business  relationships
permissible  under the  Antifraud Amendments ("Safe  Harbors"). The  fact that a
given business arrangement does  not fall within a  Safe Harbor does not  render
the  arrangement  per se  illegal. Business  arrangements of  healthcare service
providers that fail  to satisfy  the applicable Safe  Harbor criteria,  however,
risk  increased scrutiny by  enforcement authorities. Because  Tenet may be less
willing than some of its competitors to enter into business arrangements that do
not clearly satisfy the Safe Harbors, it could be at a competitive  disadvantage
in entering into certain transactions and arrangements with physicians and other
healthcare providers.
 
    In  addition,  Section  1877 of  the  Social Security  Act,  which restricts
referrals by physicians  of Medicare  and other  government-program patients  to
providers  of a broad range  of designated health services  with which they have
ownership or certain other financial arrangements, was amended effective January
1, 1995, to significantly  broaden the scope  of prohibited physician  referrals
under  the  Medicare and  Medicaid programs  to providers  with which  they have
ownership  or   certain  other   financial  arrangements   (the   "Self-Referral
Prohibitions").  Many states have adopted or are considering similar legislative
proposals, some of  which extend  beyond the  Medicaid program  to prohibit  the
payment  or receipt of  remuneration for the referral  of patients and physician
self-referrals regardless of  the source of  the payment for  the care.  Tenet's
participation   in  and  development  of  joint  ventures  and  other  financial
relationships with physicians  could be adversely  affected by these  amendments
and similar state enactments.
 
    Certificates  of  Need,  which  are  issued  by  governmental  agencies with
jurisdiction over  healthcare  facilities, are  at  times required  for  capital
expenditures  exceeding a prescribed amount, changes in bed capacity or services
and certain other matters. Following a number of years of decline, the number of
states requiring  Certificates  of Need  is  once again  on  the rise  as  state
legislators  once again are looking at the  Certificate of Need process as a way
to contain rising healthcare costs. At August 31, 1995, Tenet operated hospitals
in eight states that require state approval under Certificate of Need  programs.
Tenet is unable to predict whether it will be able to obtain any Certificates of
Need in any jurisdiction where such Certificates of Need are required.
 
                                       13
<PAGE>
    Tenet  is unable to  predict the future  course of Federal,  state and local
regulation  or  legislation,  including  Medicare  and  Medicaid  statutes   and
regulations.  Further changes in the regulatory  framework could have a material
adverse effect on the financial results of Tenet's operations.
 
HEALTHCARE REFORM LEGISLATION
 
    Healthcare, as one of the largest industries in the United States, continues
to attract much legislative interest  and public attention. Medicare,  Medicaid,
mandatory  and  other  public and  private  hospital  cost-containment programs,
proposals to limit healthcare spending,  proposals to limit prices and  industry
competitive factors are highly significant to the healthcare industry.
 
    There  continue to  be Federal and  state proposals that  would, and actions
that do, impose more limitations on government and private payments to providers
such as Tenet and proposals to increase co-payments and deductibles from program
and private  patients. In  addition,  a number  of  states are  considering  the
enactment  of managed  care initiatives  designed to  provide universal low-cost
coverage and/or additional  taxes on  hospitals to  help finance  or expand  the
states'  Medicaid  systems. Tenet's  facilities  also are  affected  by controls
imposed by  government and  private  payors designed  to reduce  admissions  and
lengths  of  stay. Such  controls,  including what  is  commonly referred  to as
"utilization  review,"  have  resulted  in  fewer  of  certain  treatments   and
procedures  being  performed.  Utilization  review  entails  the  review  of the
admission and course  of treatment of  a patient by  a third party.  Utilization
review  by  third-party  peer  review  organizations  ("PROs")  is  required  in
connection with  the  provision of  care  paid  for by  Medicare  and  Medicaid.
Utilization  review by third parties also is  a requirement of many managed care
arrangements. Tenet cannot  predict whether any  of the above  proposals or  any
other  proposals will be adopted, and if adopted, no assurance can be given that
the implementation of such  reforms will not have  a material adverse effect  on
Tenet's business.
 
CERTAIN LEGAL PROCEEDINGS
 
    Tenet  has  been  involved  in  certain  significant  legal  proceedings and
investigations related  principally to  its discontinued  psychiatric  business.
These  proceedings  and  investigations  include  class  action  and  derivative
lawsuits by certain stockholders, psychiatric patient litigation alleging  fraud
and  conspiracy, certain  lawsuits filed by  third-party private-payor insurance
companies and investigations by  various state and  Federal agencies. Tenet  (i)
has reached agreements with the United States Department of Justice (the "DOJ"),
HHS  and the Securities and Exchange Commission (the "Commission") resolving all
Federal healthcare and  related disclosure  investigations of  the Company  (but
various  government  agencies are  continuing  to pursue  investigations against
certain individuals),  (ii)  has  reached  an agreement  with  the  District  of
Columbia  and all states where  Tenet's psychiatric facilities received Medicaid
payments, settling all potential state claims  related to the matters that  were
the  subject of  the Federal investigations,  (iii) has  resolved the litigation
between Tenet and  the insurers, (iv)  has reached an  agreement, pending  court
approval,  to resolve  the shareholder  derivative lawsuit,  (v) has  reached an
agreement to settle one of the class action lawsuits, and (vi) continues efforts
to resolve the cases brought by individual psychiatric patients. Tenet continues
to experience a greater than normal  level of litigation relating to its  former
psychiatric  operations. The majority of  the lawsuits filed contain allegations
of fraud and conspiracy against the Company and certain of its subsidiaries  and
former  employees. Among the suits filed during fiscal 1995 were two lawsuits in
Texas aggregating approximately 760 individual  plaintiffs who are purported  to
have  been  patients in  certain Texas  psychiatric facilities  and a  number of
lawsuits filed  in the  District of  Columbia. In  addition, a  purported  class
action was filed in Texas state court in May 1995. Tenet expects that additional
lawsuits  of this nature will be filed, particularly because certain lawyers are
advertising seeking former  psychiatric patients in  order to ascertain  whether
potential  claims  exist  against  the  Company.  Tenet's  reserves  for unusual
litigation costs represent management's estimate of the costs of the defense  of
these  matters. There can be no  assurance, however, that the ultimate liability
will not exceed such estimates. In the event such reserves are not adequate, the
adverse determination of these matters could  have a material adverse effect  on
Tenet's financial condition and results of operations. See also "-- Professional
and General Liability Insurance."
 
                                       14
<PAGE>
    In  its  agreements with  the  DOJ and  HHS,  Tenet agreed  to  maintain its
previously established  ethics program  and ethics  hotline and  also agreed  to
implement certain additional compliance-related oversight procedures. Should the
hotline  or oversight procedures reveal,  after investigation by Tenet, credible
evidence of violations of criminal, or material violations of civil, laws, rules
or regulations governing Federally funded programs, Tenet is required to  report
any  such violation to the  DOJ and HHS. As a  result of the existing agreements
with the DOJ  and HHS  and the recent  legal proceedings  and investigations  in
which  Tenet has been involved, Tenet is  subject to increased Federal and state
regulatory scrutiny  and, in  the  event that  Tenet  violates such  decrees  or
engages  in conduct that  violates Federal or state  laws, rules or regulations,
Tenet may be subject to a  risk of increased sanctions or penalties,  including,
but  not  limited to,  partial  or complete  disqualification  as a  provider of
Medicare or Medicaid services.
 
INCOME TAX EXAMINATIONS
 
    The Internal  Revenue Service  (the "IRS")  currently is  examining  Tenet's
Federal  income tax returns for  fiscal years 1986 through  1990 and has not yet
begun examining  any  returns  for subsequent  years  (collectively,  the  "Open
Years").  Although the IRS has not  proposed any material adjustments to Tenet's
returns in the  Open Years, there  can be no  assurance that significant  issues
will  not  be  raised.  While  Tenet  has no  reason  to  believe  that  the tax
liabilities it has recorded will be inadequate,  if audits of the Open Years  or
fiscal  1995,  for  which  Tenet has  not  yet  filed a  tax  return,  result in
determinations significantly  in  excess  of such  reserves,  Tenet's  financial
condition could be materially adversely affected.
 
DEPENDENCE ON KEY PERSONNEL AND PHYSICIANS
 
    Tenet's  operations are dependent on the  efforts, ability and experience of
its key executive officers. Tenet's continued  growth depends on its ability  to
attract  and retain skilled  employees, on the  ability of its  officers and key
employees to manage growth  successfully and on Tenet's  ability to attract  and
retain  physicians at its  hospitals. In addition,  the success of  Tenet is, in
part, dependent upon the  number, specialties and quality  of physicians on  its
hospitals'   medical  staffs,  most  of   whom  have  no  long-term  contractual
relationship with  Tenet  and  may  terminate  their  association  with  Tenet's
hospitals  at any time. The loss of some  or all of these key executive officers
or an inability to attract or retain sufficient numbers of qualified  physicians
could have a material adverse impact on Tenet's future results of operations.
 
PROFESSIONAL AND GENERAL LIABILITY INSURANCE
 
    The  Company insures substantially all of its professional and comprehensive
general liability  risks in  excess of  self-insured retentions,  which vary  by
hospital  from $500,000  to $3.0  million per  occurrence, through  an insurance
company owned by several  healthcare companies and in  which the Company has  an
approximately  77% equity interest. A significant  portion of these risks is, in
turn, reinsured  with major  independent insurance  companies. Through  May  31,
1994,  the Company insured its  professional and comprehensive general liability
risks related to its psychiatric  and physical rehabilitation hospitals  through
its wholly owned insurance subsidiary that reinsured risks in excess of $500,000
with  major independent insurance companies. The  Company has reached the policy
limits  provided  by  this  insurance  subsidiary  related  to  the  psychiatric
hospitals in certain years. In addition, damages, if any, arising from fraud and
conspiracy claims in psychiatric malpractice cases may not be insured. If actual
payments  of  claims with  respect  to Tenet's  self-insured  liabilities exceed
projected payments of claims, the financial results of Tenet's operations  could
be materially adversely affected.
 
POSSIBLE INABILITY TO REPURCHASE NOTES UPON A CHANGE OF CONTROL OF TENET
 
    Under  the terms of the Credit Agreement, the prepayment of debt (other than
debt under  the Credit  Agreement) will  result in  a default  under the  Credit
Agreement  and, accordingly,  Tenet effectively is  prohibited from repurchasing
Notes upon  the  occurrence  of  a  Change  of  Control  Triggering  Event.  The
indentures governing certain Senior and Senior Subordinated Debt contain similar
terms  that may effectively prohibit the repurchase of Notes upon the occurrence
of a Change of Control Triggering Event.  Accordingly, Tenet may not be able  to
satisfy  its  obligations  to  repurchase  the Notes  unless  Tenet  is  able to
refinance or obtain  waivers with respect  to the Credit  Agreement and  certain
other indebtedness. There can
 
                                       15
<PAGE>
be  no assurance that Tenet will have  the financial resources to repurchase the
Notes in the event of a Change of Control Triggering Event, particularly if such
Change of Control Triggering  Event requires Tenet to  refinance, or results  in
the acceleration of, other indebtedness. See "Description of Notes."
 
    The  change of control provisions of the Indenture will obligate the Company
to repurchase Notes  at the  option of  the holder  thereof in  the event  Tenet
incurs additional leverage through certain types of recapitalizations, leveraged
buy-outs  or similar  transactions that could  increase the  indebtedness of the
Company or decrease  the value  of the Notes;  PROVIDED, HOWEVER,  that, if  the
Company  does  not experience  a Rating  Decline (as  defined herein)  after the
public notice of its intent to enter  into such a transaction, the Company  will
not be obligated to undertake a Change of Control Offer (as defined herein).
 
    Substantially all of the Senior and Senior Subordinated Debt of the Company,
approximately $3.1 billion in aggregate principal amount on a pro forma basis as
of  August 31, 1995,  has similar change of  control or cross-default provisions
which effectively would decrease the amount  of funds available for the  Company
to purchase the Notes pursuant to a Change of Control Offer.
 
NO PRIOR PUBLIC MARKET
 
    Although  the  Notes have  been approved  for  listing, subject  to official
notice of  issuance, on  the NYSE,  the Notes  will constitute  a new  issue  of
securities  with no established trading market.  The Company has been advised by
the  Underwriters  that,  following  the   completion  of  this  Offering,   the
Underwriters  presently intend  to make  a market in  the Notes  as permitted by
applicable laws  and  regulations.  The  Underwriters,  however,  are  under  no
obligation to do so and may discontinue any market-making activities at any time
at  the sole discretion of the Underwriters. There can be no assurance as to the
liquidity of the market that may develop  for the Notes, the ability of  holders
of the Notes to sell their Notes or the prices at which holders would be able to
sell  their Notes. The Notes  could trade at prices that  may be higher or lower
than the initial  offering price  thereof depending on  many factors,  including
prevailing  interest rates, the Company's operating  results and the markets for
similar securities. See "Underwriting."
 
                                       16
<PAGE>
                                USE OF PROCEEDS
 
   
    The net proceeds to Tenet  from the sale of the  Notes in this Offering  are
estimated  to be approximately $     million (after deducting estimated expenses
and underwriting discounts and  commissions). Tenet intends to  use all of  such
net  proceeds  to repay  secured  indebtedness outstanding  under  the Company's
Credit Agreement with the approximate amounts, interest rates and maturity dates
set forth below. Approximately $62.0 million will be used to repay  indebtedness
that  currently bears interest at 7.25% and  is due in 2001; approximately $60.8
million will be  used to  repay indebtedness  that currently  bears interest  at
7.125%  and is due in 2001; and the remainder will be used to repay indebtedness
that currently bears interest at 7.125% and is due in 2000.
    
 
                    HISTORICAL AND PRO FORMA CAPITALIZATION
 
    The following table  sets forth the  capitalization of Tenet  at August  31,
1995  and as adjusted to give effect to the consummation of this Offering and to
the application  of  the net  proceeds  therefrom  as described  under  "Use  of
Proceeds"  and  certain other  transactions  described herein  under  "Pro Forma
Financial Information."
 
   
<TABLE>
<CAPTION>
                                                                                   AS OF AUGUST 31, 1995
                                                                                  ------------------------
                                                                                                PRO FORMA
                                                                                  HISTORICAL   AS ADJUSTED
                                                                                  -----------  -----------
<S>                                                                               <C>          <C>
Current portion of long-term debt...............................................   $   276.6    $   276.6
Short-term borrowings and notes.................................................         2.1          2.1
                                                                                  -----------  -----------
    Total current debt..........................................................   $   278.7    $   278.7
                                                                                  -----------  -----------
                                                                                  -----------  -----------
Long-term debt, net of current portion:
  Credit Agreement..............................................................   $ 1,765.0    $   844.0
  Senior Notes due 2002.........................................................       300.0        300.0
  Senior Notes due 2003.........................................................      --            500.0
  Other debt (1)................................................................       261.1        261.1
  Senior Subordinated Notes due 2005............................................       900.0        900.0
  Exchangeable Subordinated Notes due 2005......................................      --            350.0
                                                                                  -----------  -----------
    Total long-term debt .......................................................     3,226.1      3,155.1
                                                                                  -----------  -----------
Shareholders' equity:
  Common stock, par value $0.075, authorized 450,000,000 shares; issued
   218,713,406 shares (2).......................................................        16.4         16.4
  Other shareholders' equity....................................................     2,359.5      2,461.2(3)
  Less treasury stock, at cost, 18,660,394 shares...............................      (270.0)      (270.0)
                                                                                  -----------  -----------
    Total shareholders' equity..................................................     2,105.9      2,207.6
                                                                                  -----------  -----------
  Total capitalization..........................................................   $ 5,332.0    $ 5,362.7
                                                                                  -----------  -----------
                                                                                  -----------  -----------
<FN>
- --------------------------
(1)  Includes several series  of medium-term  notes, certain  other secured  and
     unsecured  notes payable, mortgage notes and capitalized lease obligations,
     net of the unamortized discount on the Company's Senior Notes due 2002  and
     Senior Subordinated Notes due 2005.
(2)  Does  not  include 36,405,015  shares of  Tenet  Common Stock  reserved for
     issuance at August 31, 1995, upon exchange of Tenet options and  conversion
     of outstanding securities of Tenet.
(3)  The increase in other shareholders' equity on a pro forma basis consists of
     a  net gain of $101.7 million recognized in connection with the exchange of
     Hillhaven Common Stock for Vencor Common Stock in connection with  Vencor's
     acquisition  of  Hillhaven and  the redemption  for  cash of  the Hillhaven
     Series  C  and  Series  D   Preferred  Stock.  See  "Pro  Forma   Financial
     Information."
</TABLE>
    
 
                       RATIO OF EARNINGS TO FIXED CHARGES
 
    The  following table sets forth  the ratio of earnings  to fixed charges for
the Company on an historical basis for the year ended May 31, 1995, each of  the
preceding  four years ended May 31, and for the three-month periods ended August
31, 1994 and 1995.
 
<TABLE>
<CAPTION>
                                                                                  THREE MONTHS ENDED
                                                      YEAR ENDED MAY 31,              AUGUST 31,
                                               --------------------------------   ------------------
                                               1991   1992   1993   1994   1995    1994        1995
                                               ----   ----   ----   ----   ----   ------      ------
<S>                                            <C>    <C>    <C>    <C>    <C>    <C>         <C>
Ratio of Earnings to Fixed Charges (1).......  2.3x   3.5x   4.3x   4.2x   2.7x     5.0x        3.4x
<FN>
- --------------------------
(1)  For the purpose of  calculating such ratios,  "earnings" consist of  income
     from  continuing  operations before  income taxes  plus fixed  charges, and
     "fixed charges" consist  of interest expense,  net of capitalized  portion;
     capitalized  interest; amortization of debt  offering expenses and discount
     or premium and that portion of rents representative of interest.
</TABLE>
 
                                       17
<PAGE>
                        PRO FORMA FINANCIAL INFORMATION
 
    The Unaudited Pro Forma Condensed Combined Financial Statements give  effect
to  the following transactions and events as if  they had occurred as of June 1,
1994 for purposes of the pro  forma statement of operations and other  operating
information  and on August 31, 1995 for  purposes of the pro forma balance sheet
data: (i) the August 1994 sale of approximately 75% of the common stock of  TRC;
(ii)  the  elimination of  restructuring charges  recorded  by Tenet;  (iii) the
elimination of  nonrecurring  gains on  disposals  of facilities  and  long-term
investments recorded by Tenet; (iv) the elimination of nonrecurring merger costs
recorded  by AMH prior to  the Merger; (v) the  Merger and related transactions,
applying  the  purchase   method  of  accounting;   (vi)  the  acquisitions   of
Mercy+Baptist  and Providence;  (vii) the  June 28,  1995 sale  of the Company's
Mount Elizabeth Hospital, East Shore Hospital and related healthcare  businesses
in  Singapore as well as  the October 3, 1995 sale  of the Company's holdings in
Malaysia, the October 15, 1995 sale  of the Company's holdings in Australia  and
the probable sale of the Company's holdings in Thailand, which sale currently is
pending;  (viii) Vencor's acquisition of Hillhaven; (ix) the consummation of the
Senior Notes Offering and (x) the consummation of this Offering.
 
    The Unaudited  Pro  Forma Condensed  Combined  Financial Statements  do  not
purport  to present the financial position or results of operations of Tenet had
the transactions and events assumed therein occurred on the dates specified, nor
are they  necessarily  indicative of  the  results  of operations  that  may  be
achieved in the future.
 
    The  following Unaudited  Pro Forma Condensed  Combined Financial Statements
for the quarter ended  August 31, 1994 and  the year ended May  31, 1995 do  not
reflect  certain  cost savings  that management  believes may  be realized  as a
result of  the Merger,  currently estimated  to be  approximately $60.0  million
annually  beginning  in fiscal  1996  (before any  severance  or other  costs of
implementing certain efficiencies).  These savings are  expected to be  realized
primarily  through the  elimination of duplicative  corporate overhead expenses,
reduced  supplies  expense  through  the  incorporation  of  the  acquired   AMH
facilities  into the Company's group purchasing program, and improved collection
of the acquired AMH facilities' accounts  receivable. No assurances can be  made
as to the amount of cost savings, if any, that actually will be realized.
 
    The Unaudited Pro Forma Condensed Combined Financial Statements are based on
certain  assumptions and  adjustments described  in the  Notes to  Unaudited Pro
Forma Condensed Combined  Financial Statements  included in  the Prospectus  and
should  be read  in conjunction therewith  and with  Management's Discussion and
Analysis and  the Consolidated  Financial Statements  of Tenet  and the  related
Notes thereto incorporated by reference herein.
 
    Tenet  reports its  financial information  on the basis  of a  May 31 fiscal
year. AMH reported its financial information on the basis of an August 31 fiscal
year.
 
                                       18
<PAGE>
                 TENET HEALTHCARE CORPORATION AND SUBSIDIARIES
              UNAUDITED PRO FORMA CONDENSED COMBINED BALANCE SHEET
                             (DOLLARS IN MILLIONS)
 
   
<TABLE>
<CAPTION>
                                                                         AS OF AUGUST 31, 1995
                                                -----------------------------------------------------------------------
                                                                             INTERNATIONAL     VENCOR'S
                                                              PROVIDENCE      OPERATIONS      ACQUISITION
                                                HISTORICAL    ACQUISITION      DIVESTED      OF HILLHAVEN       THE       PRO FORMA
                                                   TENET          (A)             (B)             (C)        OFFERINGS   AS ADJUSTED
                                                -----------  -------------  ---------------  -------------  -----------  -----------
<S>                                             <C>          <C>            <C>              <C>            <C>          <C>
ASSETS
 
Current assets:
  Cash and cash equivalents...................   $   106.4     $  --           $  --           $    91.8     $  --        $   106.4
                                                                                                   (91.8)
  Short-term investments, at cost which
   approximates market........................       135.6                                                                    135.6
  Accounts and notes receivable, less
   allowance for doubtful accounts............       601.8                                                                    601.8
  Inventories of supplies, at cost............       119.9           1.5                                                      121.4
  Deferred income taxes.......................       303.1                                                                    303.1
  Assets held for sale........................       124.5                         (95.6)                                      28.9
  Prepaid expenses and other current assets...        50.4           1.9                                                       52.3
                                                -----------       ------          ------          ------    -----------  -----------
    Total current assets......................     1,441.7           3.4           (95.6)                                   1,349.5
Investments and other assets..................       370.0                                          92.6                      462.6
Property, plant and equipment, net............     3,418.0          87.0                                                    3,505.0
Intangible assets, at cost less accumulated
 amortization.................................     2,655.0          28.0                                          13.3(d)    2,706.3
                                                                                                                  10.0(e)
                                                -----------       ------          ------          ------    -----------  -----------
                                                 $ 7,884.7     $   118.4       $   (95.6)      $    92.6     $    23.3    $ 8,023.4
                                                -----------       ------          ------          ------    -----------  -----------
                                                -----------       ------          ------          ------    -----------  -----------
 
LIABILITIES AND SHAREHOLDERS' EQUITY
 
Current liabilities:
  Current portion of long-term debt...........   $   276.6     $  --           $  --           $  --         $  --        $   276.6
  Short-term borrowings and notes.............         2.1                                                                      2.1
  Accounts payable............................       258.2           9.7                                                      267.9
  Employee compensation and benefits..........       161.2                                                                    161.2
  Reserves related to discontinued
   operations.................................        66.3                                                                     66.3
  Income taxes payable........................         2.1                                                                      2.1
  Other current liabilities...................       490.7          13.4             5.5                                      509.6
                                                -----------       ------          ------          ------    -----------  -----------
    Total current liabilities.................     1,257.2          23.1             5.5                                    1,285.8
Long-term debt, net of current portion........     3,226.1          80.3          (101.1)          (73.5)        500.0(d)    3,155.1
                                                                                                                (486.7)(d)
                                                                                                                 350.0(e)
                                                                                                                (340.0)(e)
Other long-term liabilities and minority
 interests....................................       988.5          15.0                                                    1,003.5
Deferred income taxes.........................       307.0                                          64.4                      371.4
Shareholders' equity:
  Common stock................................        16.4                                                                     16.4
  Other shareholders' equity..................     2,359.5                                         101.7                    2,461.2
  Less common stock in treasury, at cost......      (270.0)                                                                  (270.0)
                                                -----------       ------          ------          ------    -----------  -----------
    Total shareholders' equity................     2,105.9        --              --               101.7        --          2,207.6
                                                -----------       ------          ------          ------    -----------  -----------
                                                 $ 7,884.7     $   118.4       $   (95.6)      $    92.6     $    23.3    $ 8,023.4
                                                -----------       ------          ------          ------    -----------  -----------
                                                -----------       ------          ------          ------    -----------  -----------
</TABLE>
    
 
   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.
 
                                       19
<PAGE>
                          TENET HEALTHCARE CORPORATION
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                        FOR THE YEAR ENDED MAY 31, 1995
           (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS AND RATIOS)
<TABLE>
<CAPTION>
                                               HISTORICAL
                                               TENET YEAR      HISTORICAL
                                                 ENDED          AMH NINE           TENET          AMH        TENET/AMH
                                                MAY 31,       MONTHS ENDED      ADJUSTMENTS   ADJUSTMENTS     MERGER
                                                  1995      FEBRUARY 28, 1995       (F)           (G)       ADJUSTMENTS
                                               ----------   -----------------   -----------   -----------   -----------
<S>                                            <C>          <C>                 <C>           <C>           <C>
Net operating revenues.......................   $3,318.4        $1,938.3          $(16.6)       $--         $ --
Operating expenses:
  Salaries and benefits......................    1,366.8           716.2            (5.9)
  Supplies...................................      431.5           280.3
  Provision for doubtful accounts............      137.5           138.5            (0.4)
  Other operating expenses...................      759.2           492.6            (6.8)        (73.9)
  Depreciation...............................      164.4            93.9            (0.6)                     (16.9)(j)
  Amortization...............................       30.6            29.5            (0.2)                      17.3(l)
  Restructuring charges......................       36.9         --                (36.9)
                                               ----------       --------        -----------   -----------   -----------
Operating income.............................      391.5           187.3            34.2          73.9         (0.4)
Interest expense, net of capitalized
 portion.....................................     (138.1)         (120.2)          --                         (76.6)(n)
Investment earnings..........................       27.5             2.6           --                          (3.2)(r)
Equity in earnings of unconsolidated
 affiliates..................................       28.4         --                 (0.1)
Minority interest in income of consolidated
 subsidiaries................................       (9.4)           (3.3)            0.4
Net gain on disposals of facilities and long-
 term investments............................       29.5         --                (29.5)
                                               ----------       --------        -----------   -----------   -----------
Income from continuing operations before
 income taxes................................      329.4            66.4             5.0          73.9        (80.2)
Taxes on income..............................     (135.0)          (41.3)           (2.0)        (18.7)        24.5(s)
                                               ----------       --------        -----------   -----------   -----------
Income from continuing operations............   $  194.4        $   25.1          $  3.0        $ 55.2      $ (55.7)
                                               ----------       --------        -----------   -----------   -----------
                                               ----------       --------        -----------   -----------   -----------
Earnings per common share from continuing
 operations, fully diluted...................   $   1.06
                                               ----------
                                               ----------
Weighted average number of shares
 outstanding, fully diluted (in 000's).......    190,139                                                     24,799(u)
                                               ----------                                                   -----------
                                               ----------                                                   -----------
Ratio of earnings to fixed charges...........        2.7x
                                               ----------
                                               ----------
 
<CAPTION>
                                                                                           VENCOR'S
                                                             GENERAL      INTERNATIONAL   ACQUISITION
                                                             HOSPITAL      OPERATIONS         OF
                                               TENET/AMH   ACQUISITIONS     DIVESTED      HILLHAVEN     PRO FORMA    PRO FORMA
 
                                               COMBINED        (H)             (I)           (C)       ADJUSTMENTS   COMBINED
 
                                               ---------   ------------   -------------   ----------   -----------   ---------
 
<S>                                            <C>         <C>            <C>             <C>          <C>           <C>
Net operating revenues.......................  $5,240.1       $370.0         $(203.4)       $--        $ --          $5,406.7
 
Operating expenses:
  Salaries and benefits......................   2,077.1        170.8           (80.7)                                 2,167.2
 
  Supplies...................................     711.8         85.4           (17.8)                                   779.4
 
  Provision for doubtful accounts............     275.6         23.9            (0.9)                                   298.6
 
  Other operating expenses...................   1,171.1         39.5           (51.1)                                 1,159.5
 
  Depreciation...............................     240.8         26.5           (14.0)                   (13.6)(k)       239.7
 
  Amortization...............................      77.2       --                (1.9)                     2.2(m)         77.5
 
  Restructuring charges......................     --          --              --                                        --
 
                                               ---------      ------      -------------   ----------   -----------   ---------
 
Operating income.............................     686.5         23.9           (37.0)                    11.4           684.8
 
Interest expense, net of capitalized
 portion.....................................    (334.9)        (7.1)            5.8                      7.1(o)       (320.0)
 
                                                                                                         29.4(p)
                                                                                                        (20.3)(q)
Investment earnings..........................      26.9       --                (0.8)         (6.8)                      19.3
 
Equity in earnings of unconsolidated
 affiliates..................................      28.3       --                (0.6)        (15.9)                      11.8
 
Minority interest in income of consolidated
 subsidiaries................................     (12.3)      --                 6.4                                     (5.9)
 
Net gain on disposals of facilities and long-
 term investments............................     --          --              --                                        --
 
                                               ---------      ------      -------------   ----------   -----------   ---------
 
Income from continuing operations before
 income taxes................................     394.5         16.8           (26.2)        (22.7)      27.6           390.0
 
Taxes on income..............................    (172.5)                        10.4           6.6      (17.3)(t)      (172.8)
 
                                               ---------      ------      -------------   ----------   -----------   ---------
 
Income from continuing operations............  $  222.0       $ 16.8         $ (15.8)       $(16.1)    $ 10.3        $  217.2
 
                                               ---------      ------      -------------   ----------   -----------   ---------
 
                                               ---------      ------      -------------   ----------   -----------   ---------
 
Earnings per common share from continuing
 operations, fully diluted...................                                                                        $   1.05
 
                                                                                                                     ---------
 
                                                                                                                     ---------
 
Weighted average number of shares
 outstanding, fully diluted (in 000's).......                                                                         214,938
 
                                                                                                                     ---------
 
                                                                                                                     ---------
 
Ratio of earnings to fixed charges...........                                                                             2.0x
 
                                                                                                                     ---------
 
                                                                                                                     ---------
 
</TABLE>
 
   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.
 
                                       20
<PAGE>
                          TENET HEALTHCARE CORPORATION
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                     FOR THE QUARTER ENDED AUGUST 31, 1994
           (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS AND RATIOS)
<TABLE>
<CAPTION>
                                                HISTORICAL        HISTORICAL
                                               TENET QUARTER      AMH QUARTER
                                                   ENDED             ENDED            TENET       TENET/AMH
                                                AUGUST 31,        AUGUST 31,       ADJUSTMENTS     MERGER
                                                   1994              1994              (F)       ADJUSTMENTS
                                               -------------   -----------------   -----------   -----------
<S>                                            <C>             <C>                 <C>           <C>
Net operating revenues.......................   $     662.8        $  638.2          $(16.6)       $--
Operating expenses:
  Salaries and benefits......................         283.2           234.0            (5.9)
  Supplies...................................          80.6            92.1
  Provision for doubtful accounts............          26.1            47.4            (0.4)
  Other operating expenses...................         150.1           137.8            (6.8)
  Depreciation...............................          34.3            30.9            (0.6)         (5.6)(j)
  Amortization...............................           3.6            10.0            (0.2)          5.7(l)
                                               -------------         ------        -----------   -----------
Operating income.............................          84.9            86.0            (2.7)         (0.1)
Interest expense, net of capitalized
 portion.....................................         (17.7)          (40.0)                        (25.5)(n)
Investment earnings..........................           6.0             0.8                          (1.1)(r)
Equity in earnings of unconsolidated
 affiliates..................................           6.3                            (0.1)
Minority interest expense in income of
 consolidated subsidiaries...................          (2.0)           (0.9)            0.4
Net gain on disposals of facilities and
 long-term investments.......................          29.5                           (29.5)
                                               -------------         ------        -----------   -----------
Income from continuing operations before
 income taxes................................         107.0            45.9           (31.9)        (26.7)
Taxes on income..............................         (43.0)          (19.0)           12.4           8.2(s)
                                               -------------         ------        -----------   -----------
Income from continuing operations............   $      64.0        $   26.9          $(19.5)       $(18.5)
                                               -------------         ------        -----------   -----------
                                               -------------         ------        -----------   -----------
Earnings per common share from continuing
 operations, fully diluted...................   $      0.36
                                               -------------
                                               -------------
Weighted average number of shares
 outstanding, fully diluted (in 000's).......       180,153                                        33,157(u)
                                               -------------                                     -----------
                                               -------------                                     -----------
Ratio of earnings to fixed charges...........           5.0x
                                               -------------
                                               -------------
 
<CAPTION>
                                                                                           VENCOR'S
                                                             GENERAL      INTERNATIONAL   ACQUISITION
                                                             HOSPITAL      OPERATIONS         OF
                                               TENET/AMH   ACQUISITIONS     DIVESTED      HILLHAVEN     PRO FORMA    PRO FORMA
 
                                               COMBINED        (H)             (I)           (C)       ADJUSTMENTS   COMBINED
 
                                               ---------   ------------   -------------   ----------   -----------   ---------
 
<S>                                            <C>         <C>            <C>             <C>          <C>           <C>
Net operating revenues.......................  $1,284.4       $ 92.5         $ (49.5)       $--        $ --          $1,327.4
 
Operating expenses:
  Salaries and benefits......................     511.3         42.7           (20.3)                                   533.7
 
  Supplies...................................     172.7         21.4            (4.5)                                   189.6
 
  Provision for doubtful accounts............      73.1          6.0            (0.2)                                    78.9
 
  Other operating expenses...................     281.1          9.9           (11.8)                                   279.2
 
  Depreciation...............................      59.0          6.6            (3.2)                    (3.4)(k)        59.0
 
  Amortization...............................      19.1                         (0.5)                     0.6(m)         19.2
 
                                               ---------       -----          ------         -----      -----        ---------
 
Operating income.............................     168.1          5.9            (9.0)                     2.8           167.8
 
Interest expense, net of capitalized
 portion.....................................     (83.2)        (1.8)            1.9                      1.8(o)        (79.1)
 
                                                                                                          7.3(p)
                                                                                                         (5.1)(q)
Investment earnings..........................       5.7                         (0.3)         (1.2)                       4.2
 
Equity in earnings of unconsolidated
 affiliates..................................       6.2                         (0.1)         (3.2)                       2.9
 
Minority interest expense in income of
 consolidated subsidiaries...................      (2.5)                         1.7                                     (0.8)
 
Net gain on disposals of facilities and
 long-term investments.......................
                                               ---------       -----          ------         -----      -----        ---------
 
Income from continuing operations before
 income taxes................................      94.3          4.1            (5.8)         (4.4)       6.8            95.0
 
Taxes on income..............................     (41.4)                         1.9           1.3       (4.3)(t)       (42.5)
 
                                               ---------       -----          ------         -----      -----        ---------
 
Income from continuing operations............  $   52.9       $  4.1         $  (3.9)       $ (3.1)    $  2.5        $   52.5
 
                                               ---------       -----          ------         -----      -----        ---------
 
                                               ---------       -----          ------         -----      -----        ---------
 
Earnings per common share from continuing
 operations, fully diluted...................  $   0.26                                                              $   0.25
 
                                               ---------                                                             ---------
 
                                               ---------                                                             ---------
 
Weighted average number of shares
 outstanding, fully diluted (in 000's).......   213,310                                                               213,310
 
                                               ---------                                                             ---------
 
                                               ---------                                                             ---------
 
Ratio of earnings to fixed charges...........                                                                             2.0x
 
                                                                                                                     ---------
 
                                                                                                                     ---------
 
</TABLE>
 
   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.
 
                                       21
<PAGE>
                          TENET HEALTHCARE CORPORATION
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                     FOR THE QUARTER ENDED AUGUST 31, 1995
           (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS AND RATIOS)
<TABLE>
<CAPTION>
                                                HISTORICAL                                                  VENCOR'S
                                               TENET QUARTER                   GENERAL     INTERNATIONAL   ACQUISITION
                                                   ENDED          TENET       HOSPITAL      OPERATIONS         OF
                                                AUGUST 31,     ADJUSTMENTS   ACQUISITIONS    DIVESTED      HILLHAVEN     PRO FORMA
                                                   1995            (F)           (H)            (I)           (C)       ADJUSTMENTS
                                               -------------   -----------   -----------   -------------   ----------   -----------
<S>                                            <C>             <C>           <C>           <C>             <C>          <C>
Net operating revenues.......................   $   1,283.9      $--           $ 87.2         $ (33.9)       $--        $ --
Operating expenses:
  Salaries and benefits......................         502.2                      39.9           (15.0)
  Supplies...................................         178.7                      20.6            (3.9)
  Provision for doubtful accounts............          67.3                       5.7            (0.1)
  Other operating expenses...................         281.6                       9.2            (7.4)
  Depreciation...............................          61.4                       6.2            (2.2)                    (3.4)(k)
  Amortization...............................          18.8                                      (0.2)                     0.6(m)
                                               -------------   -----------      -----          ------         -----      -----
Operating income.............................         173.9                       5.6            (5.1)                     2.8
Interest expense, net of capitalized
 portion.....................................         (77.1)                     (1.8)            0.3                      1.8(o)
                                                                                                                           4.4(p)
                                                                                                                          (5.1)(q)
Investment earnings..........................           7.3                                      (0.2)         (1.7)
Equity in earnings of unconsolidated
 affiliates..................................           6.9                                      (0.1)         (3.9)
Minority interest in income of consolidated
 subsidiaries................................          (5.6)                                      1.5
Net gain on disposals of facilities and
 long-term investments.......................         123.5      (123.5)
                                               -------------   -----------      -----          ------         -----      -----
Income from continuing operations before
 income taxes................................         228.9      (123.5)          3.8            (3.6)         (5.6)       3.9
Taxes on income..............................        (110.6)       64.1           0.1             1.3           1.6       (3.0)(t)
                                               -------------   -----------      -----          ------         -----      -----
Income from continuing operations............   $     118.3      $(59.4)       $  3.9         $  (2.3)       $ (4.0)    $  0.9
                                               -------------   -----------      -----          ------         -----      -----
                                               -------------   -----------      -----          ------         -----      -----
Earnings per common share from continuing
 operations, fully diluted...................   $      0.56
                                               -------------
                                               -------------
Weighted average number of shares
 outstanding, fully diluted (in 000's).......       215,839
                                               -------------
                                               -------------
Ratio of earnings to fixed charges...........           3.4x
                                               -------------
                                               -------------
 
<CAPTION>
 
                                               PRO FORMA
                                               ---------
<S>                                            <C>
Net operating revenues.......................  $1,337.2
Operating expenses:
  Salaries and benefits......................     527.1
  Supplies...................................     195.4
  Provision for doubtful accounts............      72.9
  Other operating expenses...................     283.4
  Depreciation...............................      62.0
  Amortization...............................      19.2
                                               ---------
Operating income.............................     177.2
Interest expense, net of capitalized
 portion.....................................     (77.5)
 
Investment earnings..........................       5.4
Equity in earnings of unconsolidated
 affiliates..................................       2.9
Minority interest in income of consolidated
 subsidiaries................................      (4.1)
Net gain on disposals of facilities and
 long-term investments.......................
                                               ---------
Income from continuing operations before
 income taxes................................     103.9
Taxes on income..............................     (46.5)
                                               ---------
Income from continuing operations............  $   57.4
                                               ---------
                                               ---------
Earnings per common share from continuing
 operations, fully diluted...................  $   0.27
                                               ---------
                                               ---------
Weighted average number of shares
 outstanding, fully diluted (in 000's).......   215,839
                                               ---------
                                               ---------
Ratio of earnings to fixed charges...........       2.1x
                                               ---------
                                               ---------
</TABLE>
 
   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.
 
                                       22
<PAGE>
      NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL STATEMENTS
 
    The  Unaudited Pro Forma Condensed Combined Statements of Operations for the
quarter ended August 31, 1994 and the year ended May 31, 1995 do not give effect
to certain  cost  savings that  may  be realized  as  a result  of  the  Merger,
estimated  by  Tenet  management  to  be  approximately  $60.0  million annually
beginning in fiscal 1996  (before any severance or  other costs of  implementing
such   efficiencies).  The  anticipated  savings  are  based  on  estimates  and
assumptions made  by  Tenet that  are  inherently uncertain,  though  considered
reasonable  by  Tenet, and  are subject  to  significant business,  economic and
competitive uncertainties  and  contingencies, all  of  which are  difficult  to
predict  and many of which are beyond the control of management. There can be no
assurance that such savings, if any, will be achieved.
 
    The adjustments  to arrive  at the  Unaudited Pro  Forma Condensed  Combined
Financial Statements are as follows:
 
<TABLE>
<S>        <C>                                                                            <C>
           To  reflect the  September 29,  1995 acquisition  of certain  assets and  liabilities of
           Providence under the purchase method of accounting. The assets acquired and  liabilities
           assumed  in this transaction are recorded at  their estimated fair values. The excess of
           the aggregate purchase price of $80.3  million (including the purchase or assumption  of
           working  capital) over  the estimated fair  values of  the net assets  acquired is $28.0
(a)        million, which will be amortized on a straight-line basis over 40 years. The acquisition
           of Providence was financed using a portion of the Company's Senior Revolving Debt.
           To reflect the divestiture of the Company's  holdings in Australia and Malaysia and  the
           probable  sale of the Company's  holdings in Thailand, which  sale currently is pending.
           These holdings are classified as  assets held for sale at  August 31, 1995. The  Company
           realized  net proceeds of approximately  $68.3 million from the  sale of its holdings in
           Australia, approximately $12.0  million from the  sale of its  holdings in Malaysia  and
           expects  to  realize net  cash  consideration of  approximately  $20.8 million  from the
           probable sale  of  its  holdings in  Thailand.  Pursuant  to the  terms  of  the  Credit
           Agreement,  75% of the net proceeds from the divestiture of these assets must be applied
           to the prepayment of the Senior Term Debt  and the balance applied to reduce the  amount
(b)        outstanding under the Company's Senior Revolving Debt.
           To  reflect Vencor's acquisition  of Hillhaven, pursuant to  which each Hillhaven common
           share was exchanged for  0.935 share of  Vencor Common Stock.  Tenet had held  8,878,147
           shares  of Hillhaven Common Stock and had  accounted for its interest in Hillhaven using
           the equity method of accounting. As a result of Vencor's acquisition of Hillhaven, Tenet
           received 8,301,067  shares  of Vencor  Common  Stock in  exchange  for its  interest  in
           Hillhaven.  Because Tenet owns less than 20% of  Vencor and does not have the ability to
           exercise significant  influence over  Vencor, Tenet  will account  for its  interest  in
           Vencor using the cost method of accounting for investments in unconsolidated affiliates.
           In  addition,  as  part  of  Vencor's  acquisition  of  Hillhaven,  Tenet  received cash
           consideration of approximately $91.8 million upon the redemption of its Hillhaven Series
           C Preferred Stock and Hillhaven Series D Preferred Stock. These proceeds, net of certain
           expenses related to the transaction, were applied to repay secured bank loans under  the
           Company's  Credit Agreement. In connection with Vencor's acquisition of Hillhaven, Tenet
           recognized a net  gain on the  exchange of securities  of approximately $101.7  million,
           which  gain  has  not been  reflected  in  the Unaudited  Pro  Forma  Condensed Combined
(c)        Statements of  Operations. The  Unaudited  Pro Forma  Condensed Combined  Statements  of
           Operations reflect adjustments made to eliminate the dividends on the Hillhaven Series C
           and Series
</TABLE>
 
                                       23
<PAGE>
   
<TABLE>
<S>        <C>                                                                            <C>
           D  Preferred Stock as well as the Company's equity in the earnings of Hillhaven that had
           been recognized  by Tenet  using the  equity  method of  accounting for  investments  in
           unconsolidated affiliates. A summary of this adjustment follows:
             Fair value of Vencor Common Stock on exchange date.........................  $   257.3
             Carrying value of Hillhaven Common and Preferred Stock.....................     (164.7)
                                                                                          ---------
             Net increase in investments and other assets...............................       92.6
             Cash  consideration  received upon  the  redemption of  Hillhaven Preferred
               Stock....................................................................       91.8
             Transaction fees and expenses..............................................      (10.0)
                                                                                          ---------
             Pretax gain on exchange....................................................      174.4
             Provision for income taxes ($64.4 million of which is deferred)............      (72.7)
                                                                                          ---------
             Increase in other shareholders' equity.....................................  $   101.7
                                                                                          ---------
                                                                                          ---------
           To reflect the  October 1995 Senior  Notes Offering,  which notes were  priced to  yield
           8.68%,  and the application  of the net  proceeds therefrom to  repay secured bank loans
           under the Company's  Credit Agreement, which  loans had an  average historical  interest
           rate  of 7.3%. Debt issuance costs of $13.3  million incurred with respect to the Senior
(d)        Notes Offering will be  amortized over the  life of the notes.  See "Historical and  Pro
           Forma Capitalization."
           To  reflect the consummation  of this Offering  and the application  of the net proceeds
           therefrom as described  under "Use of  Proceeds." Debt issuance  costs of $10.0  million
(e)        incurred with respect to this Offering will be amortized over the life of the Notes. See
           "Historical and Pro Forma Capitalization."
           To  adjust the results  of operations of Tenet  to reflect: (i) the  August 1994 sale of
           approximately 75% of  the common  stock of TRC;  (ii) the  elimination of  restructuring
           charges  recorded by Tenet of  $36.9 million; and (iii)  the elimination of nonrecurring
           gains on disposals of  facilities and long-term investments  recorded by Tenet of  $29.5
(f)        million  in the quarter  ended August 31, 1994  and $123.5 million  in the quarter ended
           August 31, 1995.
           To eliminate  nonrecurring  costs  recorded  by  AMH  in  connection  with  the  Merger,
(g)        principally  related to the  buy-out of employee stock  options, employee benefit costs,
           and professional fees.
           To reflect the historical  operations of Mercy+Baptist prior  to its acquisition by  the
           Company  in August 1995  as well as  the historical operations  of Providence, which was
(h)        acquired by the Company in September 1995.
           To reflect  the  divestiture of  the  Company's  Mount Elizabeth  Hospital,  East  Shore
           Hospital  and related  healthcare businesses  in Singapore,  and a  related net  gain of
           approximately $123.5 million, as well as the sale of the Company's holdings in Australia
           and Malaysia and the  probable sale of  the Company's holdings  in Thailand, which  sale
           currently  is  pending. In  fiscal 1995,  the divested  international operations  of the
           Company generated net operating revenues and EBITDA of $203.4 million and $52.9 million,
           respectively. In  fiscal 1994,  these operations  generated net  operating revenues  and
(i)        EBITDA  of $175.2 million and $46.3  million, respectively. Capital expenditures related
           to these operations were $50.0 million in fiscal 1995 and $28.7 million in fiscal 1994.
(j)        To adjust  AMH depreciation  expense for  the nine  months ended  February 28,  1995  as
           follows:
             To  reflect  additional  depreciation  on the  stepped-up  values  of AMH's
               buildings and equipment..................................................  $     2.3
             To conform  the  estimated  useful  lives of  the  acquired  buildings  and
               equipment to the lives used by Tenet.....................................      (19.2)
                                                                                          ---------
               Net decrease in depreciation expense.....................................  $   (16.9)
                                                                                          ---------
                                                                                          ---------
           The adjustments made for the quarter ended August 31, 1994 are equal to one third of the
           amounts above.
</TABLE>
    
 
                                       24
<PAGE>
<TABLE>
<S>        <C>                                                                            <C>
           To  adjust depreciation expense to reflect the estimated fair value of the buildings and
           equipment acquired in the purchases of Mercy+Baptist and Providence, and to conform  the
(k)        estimated useful lives of the acquired buildings and equipment to those used by Tenet.
           To  reflect amortization of the excess of the purchase price of AMH over the fair values
(l)        of the net assets acquired using the straight-line method over 40 years.
           To reflect the amortization  of the excess  of the purchase  price of Mercy+Baptist  and
(m)        Providence  over  the  estimated fair  values  of  the net  assets  acquired,  using the
           straight-line method over 40 years.
           To adjust interest expense, including the amortization of deferred financing costs  over
(n)        the  term of the related  indebtedness, for the nine months  ended February 28, 1995, as
           follows:
             Secured bank  loans  under  the Credit  Facility  (aggregate  principal  of
               $2,021.6 million)........................................................  $   113.2
             9 5/8% Senior Notes due 2002 (aggregate principal of $300.0 million).......       22.3
             10 1/8% Senior Notes due 2005 (aggregate principal of $900.0 million)......       70.1
             To  reduce  interest expense  to  give effect  to  the refinancing  and the
               repayment  of  certain  indebtedness   in  connection  with  the   Merger
               (aggregate principal of $1,701.9 million at a weighted average historical
               interest rate of 9.6%)...................................................     (124.4)
             To reduce interest expense to reflect the amortization of the adjustment to
               fair value of AMH indebtedness not refinanced............................       (4.6)
                                                                                          ---------
               Net increase in interest expense.........................................  $    76.6
                                                                                          ---------
                                                                                          ---------
           The adjustments made for the quarter ended August 31, 1994 are equal to one third of the
           amounts above.
           To  reflect the elimination of historical interest expense incurred by Mercy+Baptist and
(o)        by Providence in connection with indebtedness not assumed by Tenet.
           To reflect the reduction  in interest expense  from the application  of an aggregate  of
           $402.2  million  in  net  proceeds  from  (y)  the  sale  of  certain  of  the Company's
           international assets, as described in notes (b) and (i) above, and (z) the redemption of
           the Company's Series C and  Series D Preferred Stock of  Hillhaven, as described in  (c)
(p)        above, to repay secured bank loans under its Credit Agreement with an average historical
           interest rate of 7.3%.
           To  reflect interest  expense on  borrowings under  the Senior  Revolving Debt,  with an
           assumed interest rate  of 7.3%, used  to finance the  acquisitions of Mercy+Baptist  and
(q)        Providence, as well as to reflect the consummation of the Senior Notes Offering and this
           Offering.
           To  reflect an estimated reduction of interest income related to a lower balance of cash
(r)        and cash equivalents available for investment.
           To reflect income taxes at an assumed rate of 39% on the pro forma adjustments described
(s)        in (j), (n) and (r) above. Amortization of goodwill in the Merger is not deductible  for
           tax purposes.
           To reflect income taxes at an assumed rate of 39% on the pro forma adjustments described
(t)        in (h), (k), (m), (o), (p) and (q) above.
           Represents   the  additional  weighted  average  common  shares  that  would  have  been
(u)        outstanding upon consummation of the Merger.
</TABLE>
 
   
                                       25
    
<PAGE>
                                     VENCOR
 
   
    According to  Vencor's  publicly  available documents,  Vencor  operated  an
integrated  network of healthcare services primarily focused on the needs of the
elderly, including  311  nursing centers,  a  contract services  business  which
provides respiratory therapy and subacute services primarily to nursing centers,
56  institutional  pharmacy outlets  and  23 retirement  communities  with 3,122
apartments. The  Vencor  Common  Stock is  described  in  Vencor's  Registration
Statement  on  Form 8-A,  filed with  the  Commission on  January 22,  1992, and
Vencor's Preferred Stock Purchase Rights are described in Vencor's  Registration
Statement  on Form  8-A, filed with  the Commission on  July 21, 1993,  and in a
Current Report on Form 8-K filed with the Commission on August 12, 1995.
    
 
   
    Vencor is subject  to the  informational requirements of  the Exchange  Act.
Accordingly,  Vencor files reports, proxy  statements and other information with
the Commission  under  file  number  1-10989.  Copies  of  such  reports,  proxy
statements  and other information may be  inspected and copied at the Commission
locations listed under "Available Information" and  at the offices of the  NYSE,
20  Broad Street, New York, New York  10005. The following are the reports filed
by Vencor with the Commission since December 31, 1994: (1) Annual Report on Form
10-K for the fiscal year ended December 31, 1994 (the "Vencor 10-K") filed  with
the  Commission on  March 29,  1995; (2)  Amendment to  the Vencor  10-K on Form
10-K/A filed with the  Commission on August  12, 1995; (3)  the portions of  the
Vencor  Proxy Statement for  the Annual Meeting  of Shareholders held  on May 9,
1995, filed with the Commission on  March 31, 1995, that have been  incorporated
by  reference into the Vencor 10-K; (4) the portions of the Vencor Annual Report
to Shareholders for  the fiscal  year ended December  31, 1994,  filed with  the
Commission  on March 30, 1995, that have been incorporated by reference into the
Vencor 10-K; (5) Quarterly Reports on Form 10-Q for the quarters ended March 31,
1995, June  30, 1995  and September  30, 1995;  (6) Amendment  to the  Quarterly
Report  for  the quarter  ended March  31, 1995  on Form  10-Q/A filed  with the
Commission on August 12, 1995 filed with the Commission on May 11, 1995,  August
15,  1995 and November 15,  1995, respectively; and (7)  Current Reports on Form
8-K filed with the Commission on April  24, 1995, May 5, 1995, August 12,  1995,
August 23, 1995, September 1, 1995 and November 29, 1995.
    
 
                  RELATIONSHIP BETWEEN THE COMPANY AND VENCOR
 
    At  November 30, 1995,  the Company owned 8,301,067  shares of Vencor Common
Stock which represented  approximately 11.8%  of the  outstanding Vencor  Common
Stock,  with sole voting and investment power over all such shares. In addition,
the Company and Vencor have  entered into various intercompany transactions  and
arrangements.  The Company believes that  it is not an  affiliate of Vencor. The
Company currently  holds  certain registration  rights  in connection  with  the
shares  of  Vencor Common  Stock  that it  owns. Pursuant  to  the terms  of the
indenture governing the Notes, however,  the Notes are not exchangeable,  except
in  certain circumstances,  into the  underlying shares  of Vencor  Common Stock
until November 6, 1997. Accordingly, as a subsequent sale of Vencor Common Stock
would be permitted  at that time  under certain exemptions  to registration,  at
this  time the Company does not anticipate  exercising such rights. In the event
that a registration  statement is  required to  effectuate a  conversion of  the
Notes  offered hereby into Vencor Common Stock,  the Company may then attempt to
exercise such registration rights or may exercise its obligation to satisfy  the
exchange right in cash.
 
    Vencor  has no obligation with respect to the Notes or amounts to be paid to
the holders of the  Notes, including any obligation  to take into  consideration
for  any  reason the  needs of  the Company  or the  holders, other  than normal
fiduciary duties to Tenet as a shareholder.  Vencor will not receive any of  the
proceeds of the Offering of the Notes made hereby and is not responsible for the
determination of the time of, prices for or quantities of the Notes to be issued
or the optional redemption of such Notes.
 
    Pursuant  to an agreement, dated as of August 22, 1995, between the Company,
Hillhaven and Vencor (the "Three Party Agreement"), Vencor agreed to provide the
Company with registration rights for all of the Vencor Common Stock received  by
the  Company  pursuant to  Vencor's acquisition  of  Hillhaven. The  Three Party
Agreement provides that Vencor will bear certain costs and expenses incurred  in
connection  with  up to  three  registrations requested  by  the Company  of the
Company's shares of Vencor  Common Stock, and, in  connection with any  offering
pursuant  to  such  a  request,  that Vencor  will  indemnify  the  Company, its
 
                                       26
<PAGE>
affiliates, its officers  and directors,  each underwriter and  each person  who
controls any such underwriter within the meaning of Section 15 of the Securities
Act,  against certain  liabilities, including  liabilities under  the Securities
Act. The Three Party Agreement also provides that the Company shall not, for the
period  ending  seven  years  following   the  consummation  of  the   Hillhaven
Acquisition,  (i)  acquire  additional  shares  of  Vencor  Common  Stock,  (ii)
participate in any solicitation of proxies with respect to Vencor Common  Stock,
(iii)  participate in a group with respect  to Vencor Common Stock, (iv) deposit
its shares of Vencor Common  Stock into a voting trust  or (v) otherwise act  to
seek to control or influence Vencor.
 
    On  January 31,  1990, the  Company and  Hillhaven entered  into a Guarantee
Reimbursement Agreement (the "Guarantee Reimbursement Agreement") which provided
that the Company guarantee certain liabilities of Hillhaven in consideration for
a fee.  Upon  Vencor's  acquisition  of Hillhaven,  the  rights  and  duties  of
Hillhaven  under the agreement were assumed by Vencor. At May 31, 1995 and 1994,
an  aggregate  total  of  approximately  $182.0  million  and  $279.0   million,
respectively,   of  long-term  debt,  leases  and  contingent  liabilities  were
guaranteed by the Company  and the Company received  fees of approximately  $4.6
million,  $6.7 million and $9.6 million during fiscal years 1995, 1994 and 1993,
respectively.
 
    Pursuant to the Management  Agreement, dated January  31, 1990, between  the
Company  and Hillhaven (the "Management  Agreement"), which Management Agreement
was assumed  by  Vencor, Vencor  provides  management, consulting  and  advisory
services  in connection  with the  operation of  seven nursing  centers owned or
leased by the Company or its  subsidiaries. Under the Management Agreement,  the
Company  must pay management fees and reimburse certain costs and expenses. Such
amounts totalled approximately $3.1  million, $3.2 million  and $2.4 million  in
fiscal years 1995, 1994 and 1993, respectively.
 
    Vencor  is  currently  leasing  certain  nursing  centers  from  Health Care
Property Partners, a joint venture in which the Company has a minority interest.
Lease payments by Vencor  to this joint venture  amounted to approximately  $9.6
million,  $9.9 million and $9.7  million for the years  ended May 31, 1995, 1994
and 1993, respectively.
 
    Vencor is operated and managed by Vencor's management completely independent
from the Company.  The Company does  not consider that  its ownership of  Vencor
Common  Stock, or any other  aspect of its relationship  with Vencor, affords it
the power to control the management or policies of Vencor, nor that the  Company
and  Vencor are under common control.  Accordingly, the Company believes that it
is not an affiliate of Vencor.
 
                                       27
<PAGE>
                PRICE RANGE OF VENCOR COMMON STOCK AND DIVIDENDS
 
   
    Vencor Common Stock has been listed and traded on the NYSE under the  symbol
"VC"  since February 4, 1992. Prior to such time, Vencor Common Stock was listed
and traded on NASDAQ under the symbol  "VCOR". On November 30, 1995, there  were
approximately 7,800 holders of record of Vencor Common Stock.
    
 
    The  following table sets forth, for  the calendar quarters indicated (ended
March 31, June  30, September 30  and December 31),  the range of  high and  low
sales  prices of Vencor Common Stock as reported on the NYSE Composite Tape. The
prices in the table for Vencor Common Stock are adjusted to reflect a three-for-
two stock split effected on October 25, 1994.
 
   
<TABLE>
<CAPTION>
                                                                                   VENCOR COMMON STOCK
                                                                                    -----------------
                                                                                HIGH                 LOW
                                                                             -----------         -----------
<S>                                                                          <C>                 <C>
1993:
  First quarter.............................................................. $  24  1/8         $  14
  Second quarter.............................................................    19  1/2            13  7/8
  Third quarter..............................................................    20  7/8            13
  Fourth quarter.............................................................    19  7/8            14  3/8
1994:
  First quarter..............................................................    24  7/8            19  1/8
  Second quarter.............................................................    24                 20
  Third quarter..............................................................    30  3/8            22  3/8
  Fourth quarter.............................................................    30  5/8            25  3/4
1995:
  First quarter..............................................................    37                 27  1/8
  Second quarter.............................................................    38                 28  1/2
  Third quarter..............................................................    36  1/4            28  1/4
  Fourth quarter (through December 8)........................................    33  3/8            26  1/4
</TABLE>
    
 
   
    On December 8, 1995, the last reported sales price of Vencor Common Stock on
the NYSE Composite Tape was $33.375 per share.
    
 
    Vencor has not paid a dividend on outstanding shares of Vencor Common Stock.
 
                                       28
<PAGE>
                              DESCRIPTION OF NOTES
 
GENERAL
 
    The Notes will be issued pursuant to an Indenture (the "Indenture")  between
the  Company and  The Bank of  New York as  Trustee (the "Trustee")  and will be
entitled to the benefits of an escrow agreement (the "Escrow Agreement") between
the Company and The Bank of New York, as escrow agent (the "Escrow Agent").  The
terms  of the Notes include those stated in the Indenture and those made part of
the Indenture by reference to the Trust  Indenture Act of 1939, as amended  (the
"Trust  Indenture Act"). The Notes are subject to all such terms, and Holders of
Notes are referred to the Indenture and the Trust Indenture Act for a  statement
thereof.  The following summary of certain  provisions of the Indenture does not
purport to be  complete and is  qualified in  its entirety by  reference to  the
Indenture, including the definitions therein of certain terms used below. A copy
of  the proposed  form of Indenture  and Escrow  Agreement has been  filed as an
exhibit to the Registration  Statement of which this  Prospectus is a part.  The
definitions  of certain terms used in the  following summary are set forth below
under "-- Certain Definitions." As used  in this Description of Notes, the  term
"Company"  refers  to  Tenet  Healthcare  Corporation  and  not  to  any  of its
Subsidiaries.
 
    The Notes will be general unsecured obligations of the Company, subordinated
in right of payment  to all existing and  future Senior and Senior  Subordinated
Debt  of the Company. As of  August 31, 1995, on a  pro forma basis as described
above,  the  aggregate  outstanding  principal  amount  of  Senior  and   Senior
Subordinated  Debt of the Company would have been approximately $3.1 billion. In
addition, the Notes  will be  effectively subordinated to  all indebtedness  and
other  obligations of the Company's subsidiaries, which, at August 31, 1995 on a
pro forma basis,  would have  been approximately $1.4  billion (excluding  trade
payables  of $257.6 million at  August 31, 1995). See  "Historical and Pro Forma
Capitalization."
 
    The operations of the  Company are conducted  through its subsidiaries  and,
therefore,  the Company is dependent  upon the cash flow  of its subsidiaries to
meet its  obligations, including  its  obligations under  the Notes.  The  Notes
effectively  will  be subordinated  to  all outstanding  Indebtedness  and other
liabilities and commitments (including trade payables and lease obligations)  of
the Company's subsidiaries. Any right of the Company to receive assets of any of
its  subsidiaries  upon  the  latter's liquidation  or  reorganization  (and the
consequent right  of  the Holders  of  Notes  to participate  in  those  assets)
effectively  will be subordinated to the  claims of that subsidiary's creditors,
except to the extent that the Company itself is recognized as a creditor of such
subsidiary, in which case the claims  of the Company would still be  subordinate
to  any security interest in the assets  of such subsidiary and any Indebtedness
of such subsidiary senior to that held  by the Company. At August 31, 1995,  the
outstanding  Indebtedness and  other obligations  of the  Company's subsidiaries
were approximately $1.4 billion, excluding  trade payables of $257.6 million  at
August 31, 1995, and intercompany Indebtedness.
 
PRINCIPAL, MATURITY AND INTEREST
 
   
    The  Notes will be  general unsecured obligations of  the Company limited in
aggregate principal amount to  $  million and  will mature on           ,  2005.
Interest  on the Notes will accrue at the  rate per annum set forth on the cover
page of this Prospectus and will be payable semiannually in arrears on
and          of each year, commencing on         , 1996, to Holders of record on
the immediately preceding          and          , respectively. Interest on  the
Notes  will accrue from the most recent date to which interest has been paid or,
if no interest has been paid, from the date of original issuance.
    
 
    Interest on  the Notes  will be  computed on  the basis  of a  360-day  year
comprised  of twelve 30-day months. Principal,  premium, if any, and interest on
the Notes will be payable at the office or agency of the Company maintained  for
such  purpose within the  City and State  of New York  or, at the  option of the
Company, payment of interest may be made  by check mailed to the Holders of  the
Notes  at their  respective addresses  set forth in  the register  of holders of
Notes; provided that all  payments with respect to  Notes, the Holders of  which
have  given wire transfer instructions, on or prior to the relevant record date,
to the paying agent, will be required to be made by wire transfer of immediately
available funds to the accounts specified
 
                                       29
<PAGE>
by such Holders. Until otherwise designated by the Company, the Company's office
or agency in  New York will  be the office  of the Trustee  maintained for  such
purpose.  The  Notes will  be  issued in  denominations  of $1,000  and integral
multiples thereof.
 
EXCHANGE RIGHTS
 
   
    The Notes are exchangeable for shares of Vencor Common Stock at any time  or
from  time to time  on or after  November 6, 1997  and prior to  maturity of the
Notes, unless previously redeemed, at  the Exchange Rate, subject to  adjustment
under  the circumstances described  below and subject to  the Company's right to
pay cash equal  to the Market  Price of the  shares of Vencor  Common Stock  for
which  such  Notes  are exchangeable  in  lieu  of delivery  of  such  shares as
described below. The Notes will be  exchangeable prior to November 6, 1997  only
in  the event of  a merger, consolidation  or liquidation of  Vencor pursuant to
which all shares of Vencor Common Stock held by the Exchange Agent are converted
into or exchanged for cash or  other securities registered under the  Securities
Act.  No payment or adjustment will be made on exchange of any Note for interest
accrued thereon or dividends on any shares of Vencor Common Stock; provided that
if a Note  is surrendered for  exchange after  the record date  for an  interest
payment  and on or before the date for payment of interest, then notwithstanding
such exchange, the interest  falling due on such  interest payment date will  be
paid to the person in whose name the Note is registered at the close of business
on  such record  date. In  the event  the Notes  are called  for redemption, the
exchange rights will  terminate at  the close of  business on  the business  day
preceding  the redemption date (or, in the  case of a call for redemption within
ten days following a tender or exchange offer for shares of Vencor Common  Stock
(or  any other  securities deliverable upon  exchange) on the  last business day
preceding the fifteenth day after the mailing of the notice of redemption).
    
 
    In order to  exercise the right  of exchange,  the Holder of  any Note  must
surrender  his or her Note at the office or agency of the Company maintained for
such purpose in New York, New York, which initially will be the corporate  trust
office  of the Escrow Agent. Each Note  to be surrendered must be accompanied by
written notice to the  Company and the  Escrow Agent that  the Holder elects  to
exchange  such Note.  The Indenture provides  that delivery  of certificates for
shares of Vencor Common Stock (and any securities, property or cash  apportioned
thereto  as described  below) may be  delayed at  the request of  the Company in
order to effectuate the calculations of  any adjustment to the number of  shares
of  Vencor Common  Stock and securities,  property and  cash apportioned thereto
deliverable upon exchange, to obtain any certificate representing securities  to
be  delivered or to complete any reapportionment of the Vencor Common Stock (and
any securities, property or cash apportioned  thereto) which is required by  the
Indenture.  No fractional shares of Vencor Common Stock will be delivered on any
exchange of Notes  and in lieu  thereof a  cash adjustment based  on the  Market
Price of Vencor Common Stock will be paid. Any shares of Vencor Common Stock, or
any  other securities or property  held in escrow for  the benefit of Holders of
Notes, remaining in escrow after the expiration of the right to surrender  Notes
for  exchange and  when all  other obligations of  the Company  under the Escrow
Agreement shall have been satisfied, will be returned to and become the property
of the Company and/or its Permitted Transferees, if any (as defined below  under
"-- Sale or Transfer of Vencor Common Stock") as their interests may appear.
 
    In  lieu  of delivering  certificates representing  shares of  Vencor Common
Stock in exchange for any Notes, the  Escrow Agent shall, if so directed by  the
Company,  pay to the Holder  surrendering such Notes an  amount in cash equal to
the Market Price of the shares of  Vencor Common Stock for which such Notes  are
exchangeable,  determined as of the  date of receipt by  the Escrow Agent of the
notice of  exchange relating  to such  Notes, plus  any cash  or other  property
theretofore  apportioned  to such  shares of  Vencor Common  Stock. Prior  to so
directing the Escrow  Agent to  make any such  cash payment,  the Company  shall
deposit with the Escrow Agent the cash so payable.
 
    The  Company  or  its Permitted  Transferee  will  be entitled  to  all cash
dividends paid on the  shares of Vencor  Common Stock held  for exchange by  the
Escrow  Agent,  other than  dividends paid  pursuant to  a plan  of liquidation,
partial liquidation, recapitalization  or restructuring  or other  extraordinary
cash dividends. The Company or its Permitted Transferee also will be entitled to
all interest payments on any debt securities
 
                                       30
<PAGE>
   
held  for exchange by the Escrow Agent which  are issued in exchange for or with
respect to Vencor Common Stock held  by the Escrow Agent, including pursuant  to
any  merger or consolidation of Vencor or in  connection with any sale of all or
substantially all of the assets of Vencor.
    
 
    If the number of shares of Vencor Common Stock shall be increased by a stock
split or  reclassification or  by way  of a  stock dividend  or decreased  by  a
reverse stock split, the Exchange Rate will be proportionately adjusted.
 
    If  any  distribution of  cash, securities  or other  property is  made with
respect to the shares of Vencor Common Stock or other property held for exchange
by the Escrow Agent (other than cash  dividends payable on the shares of  Vencor
Common  Stock and interest paid  on debt securities to  which the Company or its
Permitted Transferee is entitled as described above, the distributions described
in the preceding  paragraph or any  securities or other  property received in  a
merger  or consolidation  of Vencor  or in  connection with  any sale  of all or
substantially all of the assets of Vencor as described in the next paragraph) or
if transferable subscription rights, options,  warrants or other similar  rights
are  granted to the Escrow  Agent or the Company  or its Permitted Transferee in
respect of the shares of Vencor Common Stock or other property held for exchange
by the Escrow Agent, the Company will cause any such securities, other property,
cash, and rights that  it or any Permitted  Transferee receives to be  deposited
with  the Escrow Agent and the Escrow Agent  will notify the Company of any such
securities, other property, cash and rights  that it receives. The Company  will
direct  the  Escrow Agent,  to the  extent such  securities, other  property and
rights are transferable, to sell all such securities, other property and  rights
for cash. The Escrow Agent will hold the cash proceeds for distribution pro rata
with  the Vencor Common Stock or other securities to be delivered upon exchange.
To the extent such securities, other property or rights are nontransferable, the
Company, at its option, will either (a) cause such securities, other property or
rights to be distributed  to the Holders  of the Notes,  (b) provide the  Escrow
Agent  with funds for the exercise of any  such rights, or (c) direct the Escrow
Agent to retain such securities, other property or rights for the benefit of the
Holders of the Notes.
 
    In the case of any merger or consolidation  of Vencor or any sale of all  or
substantially  all of the assets  of Vencor, the Holder  of any Note surrendered
for exchange  thereafter will  be entitled  to receive  the kind  and amount  of
shares  of  stock  and  other  securities and  property  receivable  upon  or in
connection with such transaction by a Holder  of the number of shares of  Vencor
Common  Stock for which such Note might have been exchanged immediately prior to
such transaction, as well as a pro rata  share of any cash or property held  for
exchange by the Escrow Agent in accordance with the preceding paragraph.
 
    The  Company  is required  to  give to  Holders  of Notes  prior  notice, as
promptly as practicable  after notice  is received  by the  Company, of  certain
dividends  on the  shares of  Vencor Common  Stock required  to be  held for the
benefit of the  Holders, the granting  by Vencor of  certain rights, options  or
warrants  to Holders of  shares of Vencor Common  Stock, reclassification of the
shares of Vencor Common Stock, certain  mergers involving Vencor or the sale  of
all  or  substantially  all  of  the  assets  of  Vencor  and  the  dissolution,
liquidation or winding up of Vencor.
 
    Any cash held by the Escrow Agent  that is deliverable upon exchange of  the
Notes  will be invested in securities issued  or guaranteed by the United States
of America  or  any  agency  or  instrumentality  thereof,  provided  that  such
obligations  shall  mature  by  their terms  within  12  months  following their
purchase. Any interest or gain  on such investments will  be for the benefit  of
the  Company,  and  the Company  will  be  responsible for  any  losses  on such
investments.
 
    To the extent that  Notes are redeemed prior  to exchange, the Company  and,
upon  demand  of  the  Company, any  applicable  Permitted  Transferee,  will be
entitled to receive from the Escrow Agent such number of shares of Vencor Common
Stock and such amount of cash or the property, if any, held by the Escrow  Agent
for exchange which exceed the number of shares of Vencor Common Stock and amount
of  cash or  other property  required to  be held  by the  Escrow Agent  for the
exchange of all Notes remaining outstanding after such redemption.
 
    If the Company calls  the Notes in  whole or in part  for redemption with  a
notice  given  within ten  days  after the  commencement  of a  tender  offer or
exchange   offer    for    shares   of    Vencor    Common   Stock    (or    any
 
                                       31
<PAGE>
other  securities deliverable  upon exchange), the  Company will  have the right
(but not the obligation) to cause the Escrow Agent to tender for its own account
or for the account of a Permitted  Transferee shares of Vencor Common Stock  (or
any  other securities deliverable  upon exchange) into the  offer. The number of
shares of Vencor Common Stock tendered may  not include the number of shares  of
Vencor  Common Stock deliverable upon exchange of the aggregate principal amount
of outstanding Notes after giving effect  to such redemption. The Company  must,
to  the extent Notes so called for redemption are surrendered for exchange on or
before the last business  day preceding the fifteenth  day after the mailing  of
the  notice of redemption,  cause to be  withdrawn from the  offer, or otherwise
cause to be delivered to the Escrow  Agent, a number of shares of Vencor  Common
Stock  sufficient  to permit  their  delivery in  exchange  for such  Notes. The
proceeds of the  sale of  shares of  Vencor Common  Stock pursuant  to any  such
tender  or  exchange  offer  and  any shares  of  Vencor  Common  Stock returned
following the  expiration or  termination of  such offer,  which are  no  longer
deliverable  in exchange  for Notes  so called for  redemption, will  be for the
Company's benefit and will not be subject to the Escrow Agreement.
 
    The Company will not be obligated,  however, and the Escrow Agent shall  not
have  the authority, except as described below, to exchange on a voluntary basis
(for example, in the context  of a cash tender offer)  any of the Vencor  Common
Stock  for cash, securities or other property. In certain situations, this could
be detrimental to the interests  of the Holders of  the Notes and might  require
such  Holders to exchange their Notes for shares of Vencor Common Stock in order
to participate in any such voluntary exchange. Except in the event of a  merger,
consolidation  or liquidation of  Vencor pursuant to which  all shares of Vencor
Common Stock held by the Exchange Agent are converted into or exchanged for cash
or other securities registered under the  Securities Act, Holders will not  have
the  right  to  exchange their  Notes  prior  to November  6,  1997.  In certain
circumstances including,  without limitation,  a cash  merger of  Vencor, it  is
possible  that the  shares of Vencor  Common Stock which  theretofore might have
been received  in  exchange  for the  Notes  will  no longer  be  available  for
exchange.  In such event,  only the cash, securities  or other property received
upon the  exchange  of the  shares  of Vencor  Common  Stock (exclusive  of  any
interest  or  dividends payable  with respect  thereto)  will be  available upon
exchange of the Notes to the Holders thereof.
 
    The right of  a Holder  to exchange  his or her  Note for  shares of  Vencor
Common  Stock (or other securities,  property or cash) held  by the Escrow Agent
could be  adversely affected  in  the event  of  the bankruptcy,  insolvency  or
liquidation  of  the  Company.  The  shares of  Vencor  Common  Stock  (or other
securities, property or cash) held by the  Escrow Agent will be deemed to be  an
asset  of the Company subject to the  claims of its general creditors. The right
of a Holder to exchange  his or her Note for  shares of Vencor Common Stock  (or
other  securities, property or cash) held by the Escrow Agent could be adversely
affected in the event  of bankruptcy, insolvency or  liquidation of a  Permitted
Transferee  if such shares, securities or cash were determined to be an asset of
the Permitted Transferee; however, the Company shall remain liable in the  event
of  the bankruptcy,  insolvency or  liquidation of  the Permitted  Transferee to
perform all of the Company's duties and obligations under the Indenture and  the
Escrow Agreement.
 
ESCROW OF EXCHANGE PROPERTY
 
    Prior  to the issuance of the Notes,  the Company will deposit the shares of
Vencor Common Stock with  the Escrow Agent  to provide for  the exchange of  all
Notes  offered hereby. The  Escrow Agent will  act as agent  for the exchange of
Notes. A  breach  of  the  Escrow Agreement  will  not  constitute  grounds  for
accelerating  the indebtedness evidenced  by the Notes, but  the Holders and the
Trustee  will  have   the  remedies   provided  by   the  Indenture,   including
acceleration,  for failure by  the Company to cause  exchange in accordance with
the Indenture. The Company and its Permitted Transferee will be entitled to vote
their respective shares of the escrowed shares of Vencor Common Stock.
 
    With certain limited exceptions, amendments and modifications of the  Escrow
Agreement  may be made by  the Company and the Escrow  Agent with the consent of
the Holders of a majority in principal amount of the outstanding Notes, provided
that without the consent  of each Holder affected  thereby no such amendment  or
modification  may affect adversely the right to exchange any Notes for shares of
Vencor Common Stock at the rate and upon the terms set forth in the Indenture or
reduce the  percentage  of  Notes  necessary  to  amend  or  modify  the  Escrow
Agreement.
 
                                       32
<PAGE>
SALE OR TRANSFER OF VENCOR COMMON STOCK
 
    The  Company may, at any time and from  time to time in its sole discretion,
sell or transfer all or any part of its right, title and interest in the  shares
of  Vencor Common  Stock to any  wholly owned  subsidiary of the  Company or any
partnership all of the  general partners and limited  partners of which are  the
Company  and/ or wholly owned subsidiaries of  the Company (any of the foregoing
are hereinafter referred to as a "Permitted Transferee"); PROVIDED THAT (1) such
shares of Vencor Common  Stock sold or transferred  shall remain subject to  the
terms  and conditions of  the Escrow Agreement  and the Indenture;  (2) any such
Permitted Transferee must  expressly agree  in writing  to become  bound by  the
terms  and conditions of the  Escrow Agreement, as such  Escrow Agreement may be
amended from time  to time,  as though such  Permitted Transferee  were a  party
thereto; (3) the Company shall notify the Escrow Agent in writing at the time of
any  such sale or transfer as to the  number of shares of Vencor Common Stock so
sold or transferred to such Permitted Transferee; and (4) such sale or  transfer
shall  be  in  compliance with  federal  and  all applicable  state  and foreign
securities laws. Notwithstanding any such sale or transfer, except as  otherwise
provided by the Escrow Agreement, the Company shall remain liable to perform all
of its duties and obligations under the Indenture and the Escrow Agreement.
 
REGISTRATION OF VENCOR COMMON STOCK UNDER THE SECURITIES ACT
 
    The  Company has agreed  that at any  time that a  Holder of Notes exchanges
such Notes for certificates  representing shares of Vencor  Common Stock and  an
effective registration statement of Vencor filed with the Commission (or related
qualification  under state  blue sky  or securities  laws) would  be required in
order for the Escrow Agent to deliver such shares of Vencor Common Stock in  the
United  States or to a United States Person, the Company will use its reasonable
best efforts to ensure that an effective registration statement of Vencor is  on
file  with the Commission covering the delivery  of such shares of Vencor Common
Stock and any qualification under state blue sky or securities laws required for
such delivery is maintained and, in the event such registration statement is not
effective or such qualification is not maintained, will direct the Escrow  Agent
to  pay such  Holder cash, in  lieu of  delivering such shares  of Vencor Common
Stock, in accordance with the provisions of the Indenture.
 
SUBORDINATION
 
    The payment of principal of, premium, if any, and interest on the Notes will
be subordinated in right of payment, as set forth in the Indenture, to the prior
payment in full of all Senior and Senior Subordinated Debt, whether  outstanding
on the date of the Indenture or thereafter incurred.
 
    Upon  any  distribution to  creditors  of the  Company  in a  liquidation or
dissolution of  the  Company or  in  a bankruptcy,  reorganization,  insolvency,
receivership  or similar proceeding relating to  the Company or its property, an
assignment for the  benefit of  creditors or  any marshalling  of the  Company's
assets  and liabilities, the Holders of Senior and Senior Subordinated Debt will
be entitled to receive payment in full of all Obligations due in respect to such
Senior and  Senior  Subordinated Debt  (including  interest accruing  after  the
commencement  of any  such proceeding  at the  rate specified  in the applicable
Senior and Senior Subordinated  Debt, whether or not  allowed or allowable as  a
claim  in  such proceeding)  before the  Holders  of Notes  will be  entitled to
receive any payment with  respect to the Notes,  and until all Obligations  with
respect   to  Senior  and  Senior  Subordinated  Debt  are  paid  in  full,  any
distribution to which the Holders  of Notes would be  entitled shall be made  to
the Holders of Senior and Senior Subordinated Debt (except that Holders of Notes
may  receive securities that (i) are subordinated at least to the same extent as
the Notes to Senior  and Senior Subordinated Debt  and any securities issued  in
exchange  for Senior and Senior Subordinated Debt, (ii) are unsecured (except to
the extent the Notes are secured), (iii) are not Guaranteed by any Subsidiary of
the Company (except to the extent the Notes are so Guaranteed), and (iv) have  a
Weighted  Average Life to Maturity and final  maturity that are not shorter than
the Weighted Average Life to Maturity of  the Notes or any securities issued  to
Holders  of  Senior  and  Senior Subordinated  Debt  under  the  Credit Facility
pursuant to a plan of reorganization or readjustment).
 
    The Company also may not  make any payment upon or  in respect of the  Notes
(except  in such subordinated securities) if (i) a default in the payment of the
principal of,  premium, if  any, or  interest on  Designated Senior  and  Senior
Subordinated  Debt  occurs and  is continuing  beyond  any applicable  period of
 
                                       33
<PAGE>
grace or  (ii)  any other  default  occurs and  is  continuing with  respect  to
Designated  Senior  and Senior  Subordinated Debt  that  permits holders  of the
Designated Senior and Senior Subordinated Debt as to which such default  relates
to  accelerate its maturity and the Trustee receives a notice of such default (a
"Payment Blockage Notice"), for so long as any Obligations are outstanding under
the Credit Facility,  from the Representative  thereunder and, thereafter,  from
the  holders or Representative of any  Designated Senior and Senior Subordinated
Debt. Payments on  the Notes  may and  shall be  resumed (a)  in the  case of  a
payment  default, upon the date on which such default is cured or waived and (b)
in the case  of a  nonpayment default,  the earlier of  the date  on which  such
nonpayment  default is cured or  waived or 179 days after  the date on which the
applicable Payment  Blockage Notice  is  received, unless  the maturity  of  any
Designated  Senior and  Senior Subordinated  Debt has  been accelerated.  No new
period of payment blockage may be commenced within 360 days after the receipt by
the Trustee of  any prior Payment  Blockage Notice. No  nonpayment default  that
existed or was continuing on the date of delivery of any Payment Blockage Notice
to the Trustee shall be, or be made, the basis for a subsequent Payment Blockage
Notice.
 
    The  Indenture will further require that the Company promptly notify holders
of Senior and Senior  Subordinated Debt if payment  of the Notes is  accelerated
because of an Event of Default.
 
    As a result of the subordination provisions described above, in the event of
a  liquidation or  insolvency, Holders  of Notes  may recover  less ratably than
creditors of the Company who are Holders of Senior and Senior Subordinated Debt.
 
OPTIONAL REDEMPTION
 
   
    The Notes will not be subject to redemption prior to         , 1998 and will
be redeemable on such date and thereafter at the option of the Company, in whole
or in part, upon not less than 30 nor more than 60 days' notice to each  Holder,
at  the redemption prices (expressed as percentages of the principal amount) set
forth below plus accrued and unpaid interest, if any, thereon to the  applicable
redemption  date (subject to the right of Holders  of record on a Record Date to
receive interest due on  an Interest Payment  Date that is on  or prior to  such
Redemption Date), if redeemed during the 12-month period beginning on         of
the years indicated below:
    
 
   
<TABLE>
<CAPTION>
YEAR                                                            PERCENTAGE
- --------------------------------------------------------------  -----------
<S>                                                             <C>
1998..........................................................            %
1999..........................................................            %
2000..........................................................            %
2001..........................................................            %
2002 and thereafter...........................................     100.000%
</TABLE>
    
 
    If  less than all of the Notes are  to be redeemed at any time, selection of
Notes for  redemption  will  be made  by  the  Trustee in  compliance  with  the
requirements of the principal national securities exchange, if any, on which the
Notes  are then listed, or, if the Notes are not so listed, on a pro rata basis,
by lot  or by  such  method as  the Trustee  shall  deem fair  and  appropriate;
provided  that Notes with a principal amount  of $1,000 shall not be redeemed in
part. Notice of redemption shall be mailed  by first class mail at least 30  but
not  more than 60 days before the redemption  date to each Holder of Notes to be
redeemed at its registered address. If any Note is to be redeemed in part  only,
the  notice of redemption that  relates to such Note  shall state the portion of
the principal amount  thereof to  be redeemed. A  new Note  in principal  amount
equal to the unredeemed portion thereof will be issued in the name of the Holder
thereof  upon cancellation  of the  original Note.  On and  after the redemption
date, interest will  cease to accrue  on Notes  or portions of  them called  for
redemption.
 
MANDATORY REDEMPTION
 
    Except  as set forth below  under "-- Repurchase at  the Option of Holders,"
the Company will  not be required  to make any  mandatory redemption or  sinking
fund payments with respect to the Notes.
 
REPURCHASE AT THE OPTION OF HOLDERS
 
    Upon  the occurrence of a Change of Control Triggering Event, each Holder of
Notes will have the right to require  the Company to repurchase all or any  part
(equal    to    $1,000   or    an   integral    multiple   thereof)    of   such
 
                                       34
<PAGE>
Holder's Notes pursuant  to the offer  described below (the  "Change of  Control
Offer")  at an  offer price  in cash  equal to  100% of  the aggregate principal
amount thereof plus accrued and unpaid interest thereon to the date of  purchase
(the  "Change of Control Payment") on a date that is not more than 90 days after
the occurrence  of such  Change  of Control  Triggering  Event (the  "Change  of
Control  Payment  Date").  Within  30  days  following  any  Change  of  Control
Triggering Event, the Company will mail, or at the Company's request the Trustee
will mail, a notice to each Holder offering to repurchase the Notes held by such
Holder pursuant to  the procedures specified  in such notice.  The Company  will
comply  with the requirements of Rule 14e-1 under the Exchange Act and any other
securities laws and  regulations thereunder  to the  extent that  such laws  and
regulations  are applicable in connection with the  repurchase of the Notes as a
result of a Change of Control Triggering Event.
 
    On the  Change of  Control Payment  Date, the  Company will,  to the  extent
lawful,  (1) accept for payment all  Notes or portions thereof properly tendered
and not withdrawn pursuant to the Change of Control Offer, (2) deposit with  the
paying  agent an amount equal to the Change of Control Payment in respect of all
Notes or portions thereof so tendered and  (3) deliver or cause to be  delivered
to  the Trustee  the Notes  so accepted  together with  an Officers' Certificate
stating the  aggregate  principal amount  of  Notes or  portions  thereof  being
purchased  by the Company. The paying agent will promptly mail to each Holder of
Notes so tendered the Change of Control Payment for such Notes, and the  Trustee
will  promptly authenticate and mail (or cause  to be transferred by book entry)
to each Holder a new Note equal  in principal amount to any unpurchased  portion
of  the Notes surrendered, if any; provided that each such new Note will be in a
principal amount of  $1,000 or an  integral multiple thereof.  The Company  will
publicly  announce the results of  the Change of Control Offer  on or as soon as
practicable after the Change of Control Payment Date.
 
    Except as described  above with respect  to a Change  of Control  Triggering
Event,  the Indenture will not contain provisions that permit the Holders of the
Notes to require that the Company repurchase or redeem the Notes in the event of
a takeover, recapitalization or similar transaction.
 
    The Credit Agreement prohibits  the Company from  purchasing any Notes  more
than  twelve months prior to the final  maturity thereof, and also provides that
certain change of control events with  respect to the Company will constitute  a
default thereunder. See "Description of the Credit Agreement." Any future credit
agreements  or other agreements relating to  Senior and Senior Subordinated Debt
to which  the Company  becomes  a party  may  contain similar  restrictions  and
provisions.  In the event a Change of  Control Triggering Event occurs at a time
when the Company is prohibited from purchasing Notes, the Company could seek the
consent of its lenders to  the purchase of Notes  or could attempt to  refinance
the  borrowings that  contain such prohibition.  If the Company  does not obtain
such a consent or refinance such borrowings, the Company will remain  prohibited
from  purchasing Notes. In such case, the Company's failure to purchase tendered
Notes would constitute an Event of  Default under the Indenture which would,  in
turn, constitute a default under the Credit Agreement.
 
MERGER, CONSOLIDATION OR SALE OF ASSETS
 
    The  Indenture will  provide that the  Company may not  consolidate or merge
with or into (whether or not the Company is the surviving corporation), or sell,
assign, transfer, lease, convey or otherwise dispose of all or substantially all
of its properties  or assets  in one or  more related  transactions, to  another
corporation,   Person  or  entity  unless  (i)  the  Company  is  the  surviving
corporation or  the  entity  or the  Person  formed  by or  surviving  any  such
consolidation  or merger  (if other  than the  Company) or  to which  such sale,
assignment, transfer, lease,  conveyance or  other disposition  shall have  been
made is a corporation organized or existing under the laws of the United States,
any  state thereof or the District of Columbia; (ii) the entity or Person formed
by or surviving any such consolidation or merger (if other than the Company)  or
the entity or Person to which such sale, assignment, transfer, lease, conveyance
or  other disposition shall  have been made  assumes all the  obligations of the
Company under the Notes and the  Indenture pursuant to a supplemental  Indenture
in  form reasonably  satisfactory to the  Trustee; (iii)  immediately after such
transaction no Default or Event of Default  exists; and (iv) the Company or  the
entity  or Person formed  by or surviving  any such consolidation  or merger (if
other than the  Company), or to  which such sale,  assignment, transfer,  lease,
 
                                       35
<PAGE>
conveyance  or other disposition  shall have been made  will have a Consolidated
Net Worth  immediately  after the  transaction  equal  to or  greater  than  the
Consolidated Net Worth of the Company immediately preceding the transaction.
 
EVENTS OF DEFAULT AND REMEDIES
 
    The  Indenture will provide that each  of the following constitutes an Event
of Default: (i) default for 30 days in  the payment when due of interest on  the
Notes;  (ii) default in payment when due of the principal of or premium, if any,
on the Notes at maturity  or otherwise; (iii) failure  by the Company to  comply
with  the provisions described under the caption "-- Repurchase at the Option of
Holders"; (iv) failure by the  Company for 60 days  after notice to comply  with
any  of its  other agreements  in the  Indenture or  the Notes;  (v) any default
occurs under any  mortgage, indenture  or instrument  under which  there may  be
issued  or by which there may be secured or evidenced any Indebtedness for money
borrowed by the Company or any  of its Significant Subsidiaries (or the  payment
of  which is Guaranteed by the Company  or any of its Significant Subsidiaries),
whether such Indebtedness or Guarantee exists on the date of the Indenture or is
thereafter created,  which default  (a)  constitutes a  Payment Default  or  (b)
results  in the acceleration of such  Indebtedness prior to its express maturity
and, in each case, the principal  amount of any Indebtedness, together with  the
principal  amount of any  other such Indebtedness  under which there  has been a
Payment Default or  that has been  so accelerated, aggregates  $25.0 million  or
more;  (vi) failure by the Company or any of its Significant Subsidiaries to pay
final judgments aggregating in excess of $25.0 million, which judgments are  not
paid,  discharged or  stayed for a  period of  60 days; (vii)  certain events of
bankruptcy or insolvency with respect to  the Company or any of its  Significant
Subsidiaries  and (viii)  failure by the  Company to comply  with the provisions
described under the caption "-- Exchange Rights."
 
    If any Event of Default occurs and is continuing, the Trustee or the Holders
of at least 25% in  principal amount of the  then outstanding Notes may  declare
all  the Notes to be due and payable immediately. Notwithstanding the foregoing,
in the case of an Event of Default arising from certain events of bankruptcy  or
insolvency  with respect to the Company  or any of its Significant Subsidiaries,
all outstanding Notes  will become  due and  payable without  further action  or
notice.  Holders of the Notes may not  enforce the Indenture or the Notes except
as provided  in the  Indenture. Subject  to certain  limitations, Holders  of  a
majority  in  principal amount  of  the then  outstanding  Notes may  direct the
Trustee in its exercise  of any trust  or power. The  Trustee may withhold  from
Holders  of  the Notes  notice of  any  continuing Default  or Event  of Default
(except a Default or Event  of Default relating to  the payment of principal  or
interest) if it determines that withholding notice is in their interest.
 
    The  Holders of a majority  in aggregate principal amount  of the Notes then
outstanding by notice  to the Trustee  on behalf of  the Holders of  all of  the
Notes,  may waive any existing  Default or Event of  Default and its consequence
under the  Indenture except  a continuing  Default or  Event of  Default in  the
payment of interest on, or the principal of, the Notes.
 
    The  Company  is required  to deliver  to the  Trustee annually  a statement
regarding compliance  with  the Indenture,  and  the Company  is  required  upon
becoming  aware of any Default or Event of  Default, to deliver to the Trustee a
statement specifying such Default or Event of Default.
 
    A "Default" is defined to mean any event that is or with the passage of time
or the giving  of notice or  both would be  an Event of  Default and a  "Payment
Default"  is defined  to mean  any failure to  pay any  scheduled installment of
interest or principal on any Indebtedness  within the grace period provided  for
such payment in the documentation governing such Indebtedness.
 
NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND STOCKHOLDERS
 
    No  director, officer, employee, incorporator or stockholder of the Company,
as such, shall have any liability for  any obligations of the Company under  the
Notes,  the Indenture or for any claim based on, in respect of, or by reason of,
such obligations or  their creation. Each  Holder of Notes  by accepting a  Note
waives  and releases all such liability. The  waiver and release are part of the
consideration for issuance  of the Notes.  Such waiver may  not be effective  to
waive  liabilities under the Federal  securities laws and it  is the view of the
Commission that  such  a  waiver  is against  public  policy  and  is  therefore
unenforceable.
 
                                       36
<PAGE>
TRANSFER AND EXCHANGE
 
    A  Holder may transfer  or exchange Notes in  accordance with the Indenture.
The Registrar  and the  Trustee may  require a  Holder, among  other things,  to
furnish  appropriate  endorsements and  transfer documents  and the  Company may
require a Holder to pay any taxes and  fees required by law or permitted by  the
Indenture.
 
    The  registered Holder of a Note will be  treated as the owner of it for all
purposes.
 
AMENDMENT, SUPPLEMENT AND WAIVER
 
    Except as provided in the next  two succeeding paragraphs, the Indenture  or
the  Notes may be amended or supplemented with  the consent of the Holders of at
least a majority in  principal amount of the  Notes then outstanding  (including
consents  obtained in connection with a tender  offer or exchange offer for such
Notes), and  any  existing default  or  compliance  with any  provision  of  the
Indenture  or the  Notes may  be waived  with the  consent of  the Holders  of a
majority in principal amount of  the then outstanding Notes (including  consents
obtained in connection with a tender offer or exchange offer for such Notes).
 
    Without  the consent of each Holder affected, an amendment or waiver may not
(with respect to  any Notes  held by a  non-consenting Holder):  (i) reduce  the
principal amount of Notes whose Holders must consent to an amendment, supplement
or  waiver, (ii)  reduce the principal  of or  change the fixed  maturity of any
Note, (iii) reduce the rate of or change the time for payment of interest on any
Note, (iv) make any change in the Indenture regarding the exchange rights  other
than  to increase the Exchange Rate, (v) waive  a Default or Event of Default in
the payment of principal of or premium, if any, or interest on the Notes (except
a rescission of acceleration of the Notes by the Holders of at least a  majority
in  aggregate principal amount thereof and a  waiver of the payment default that
resulted from such acceleration), (vi) make any Note payable in money other than
that stated  in the  Notes,  (vii) make  any change  in  the provisions  of  the
Indenture relating to waivers of past Defaults or the rights of Holders of Notes
to  receive payments  of principal  of or  premium, if  any, or  interest on the
Notes, (viii) make any change in the foregoing amendment and waiver provisions.
 
    Notwithstanding the foregoing, without the  consent of any Holder of  Notes,
the  Company and the Trustee may amend  or supplement the Indenture or the Notes
to cure any ambiguity,  defect or inconsistency,  to provide for  uncertificated
Notes  in addition  to or  in place  of certificated  Notes, to  provide for the
assumption of the Company's  obligations to Holders  of Notes in  the case of  a
merger  or consolidation, to  make any change that  would provide any additional
rights or benefits to the Holders of Notes or that does not adversely affect the
legal rights  under  the  Indenture  of  any such  Holder,  or  to  comply  with
requirements  of the Commission in order to effect or maintain the qualification
of the Indenture under the Trust Indenture Act.
 
REPORTS
 
    The Indenture will provide  that, whether or not  required by the rules  and
regulations of the Commission, so long as any Notes are outstanding, the Company
will  furnish to  the Holders  of Notes (i)  all quarterly  and annual financial
information that  would  be  required to  be  contained  in a  filing  with  the
Commission  on Forms  10-Q and 10-K  if the  Company were required  to file such
Forms, including a "Management's Discussion and Analysis of Financial  Condition
and  Results of Operations" and, with respect  to the annual information only, a
report thereof by  the Company's  independent certified  public accountants  and
(ii)  all current reports that would be required to be filed with the Commission
on Form 8-K  if the Company  were required  to file such  reports. In  addition,
whether  or not  required by  the rules and  regulations of  the Commission, the
Company will file a copy of all such information and reports with the Commission
for public  availability  and  make such  information  available  to  securities
analysts and prospective investors upon request.
 
CONCERNING THE TRUSTEE
 
    The Indenture will contain certain limitations on the rights of the Trustee,
should the Trustee become a creditor of the Company, to obtain payment of claims
in certain cases, or to realize on certain property
 
                                       37
<PAGE>
received in respect of any such claim as security or otherwise. The Trustee will
be  permitted to engage in other  transactions; however, if the Trustee acquires
any conflicting interest it must eliminate  such conflict within 90 days,  apply
to the Commission for permission to continue or resign.
 
    The  Holders of a majority in principal amount of the then outstanding Notes
will have the  right to  direct the  time, method  and place  of conducting  any
proceeding  for  exercising  any remedy  available  to the  Trustee,  subject to
certain exceptions. The  Indenture provides  that in  case an  Event of  Default
shall  occur (which shall  not be cured),  the Trustee will  be required, in the
exercise of its power, to use the degree of care of a prudent man in the conduct
of his own affairs. Subject  to such provisions, the  Trustee will not be  under
any  obligation to exercise any  of its rights or  powers under the Indenture at
the request of any Holder of Notes, unless such Holder shall have offered to the
Trustee security and indemnity satisfactory to it against any loss, liability or
expense.
 
CERTAIN DEFINITIONS
 
    Set forth are certain defined terms used in the Indenture. Reference is made
to the Indenture for a full disclosure of  all such terms, as well as any  other
capitalized terms used herein for which no definition is provided.
 
    "AFFILIATE"  of  any specified  Person means  any  other Person  directly or
indirectly controlling  or controlled  by  or under  direct or  indirect  common
control  with such specified Person. For  purposes of this definition, "control"
(including, with correlative meanings, the terms "controlling," "controlled  by"
and "under common control with"), as used with respect to any Person, shall mean
the  possession, directly  or indirectly,  of the power  to direct  or cause the
direction of the  management or  policies of  such Person,  whether through  the
ownership  of  voting  securities,  by  agreement  or  otherwise;  provided that
beneficial ownership of 10% or more of  the voting securities of a Person  shall
be  deemed to be  control. The Company believes  that it is  not an affiliate of
Vencor.
 
    "CAPITAL LEASE OBLIGATION" means, at  the time any determination thereof  is
to be made, the amount of the liability in respect of a capital lease that would
at such time be required to be capitalized on a balance sheet in accordance with
GAAP.
 
    "CAPITAL  STOCK" means  (i) in the  case of a  corporation, corporate stock,
(ii) in the  case of  an association  or business  entity, any  and all  shares,
interests,  participations, rights or other  equivalents (however designated) of
corporate stock,  (iii) in  the  case of  a partnership,  partnership  interests
(whether  general or limited) and (iv)  any other interest or participation that
confers on a Person the right to receive  a share of the profits and losses  of,
or distributions of assets of, the issuing Person.
 
    "CHANGE  OF CONTROL" means the  occurrence of any of  the following: (i) the
sale, lease, transfer, conveyance  or other disposition, in  one or a series  of
related  transactions, of all or substantially all  of the assets of the Company
and its Subsidiaries taken as  a whole to any Person  or group (as such term  is
used  in Sections  13(d)(3) and 14(d)(2)  of the  Exchange Act) other  than to a
Person or group who, prior  to such transaction, held  a majority of the  voting
power  of the voting stock of the Company, (ii) the acquisition by any Person or
group (as defined above) of  a direct or indirect interest  in more than 50%  of
the  voting  power of  the voting  stock of  the  Company, by  way of  merger or
consolidation or otherwise, or (iii)  the first day on  which a majority of  the
members of the Board of Directors of the Company are not Continuing Directors.
 
    The  phrase "all  or substantially  all" of the  assets of  the Company will
likely be interpreted  under applicable  state law  and will  be dependent  upon
particular  facts  and circumstances.  As a  result,  there may  be a  degree of
uncertainty in ascertaining whether a sale or transfer of "all or  substantially
all" of the assets of the Company has occurred, in which case a holder's ability
to obtain the benefit of a Change of Control Offer may be impaired. In addition,
no  assurances  can be  given that  the Company  will be  able to  acquire Notes
tendered upon the occurrence of a Change of Control Triggering Event.
 
    "CHANGE OF CONTROL TRIGGERING EVENT" means  the occurrence of both a  Change
of Control and a Rating Decline.
 
                                       38
<PAGE>
    "CONSOLIDATED  NET WORTH" means, with respect to  any Person as of any date,
the sum of (i) the consolidated equity of the common stockholders of such Person
and its  consolidated Subsidiaries  as of  such date  plus (ii)  the  respective
amounts  reported on such Person's balance sheet as of such date with respect to
any series  of  preferred  stock  (other  than  Disqualified  Stock),  less  all
write-ups (other than write-ups resulting from foreign currency translations and
write-ups of tangible assets of a going concern business made in accordance with
GAAP  as a result of the acquisition of such business) subsequent to the date of
the Indenture  in  the book  value  of  any asset  owned  by such  Person  or  a
consolidated Subsidiary of such Person, and excluding the cumulative effect of a
change in accounting principles, all as determined in accordance with GAAP.
 
    "CONTINUING DIRECTORS" means, as of any date of determination, any member of
the  Board of Directors  of the Company  who (i) was  a member of  such Board of
Directors on the date  of the Indenture  or (ii) was  nominated for election  or
elected  to  such Board  of Directors  with the  approval of  a majority  of the
Continuing Directors  who  were  members of  such  Board  at the  time  of  such
nomination or election.
 
    "CREDIT  FACILITY"  means that  certain Credit  Agreement  by and  among the
Company and Morgan Guaranty Trust Company of  New York and the other banks  that
are  party thereto, providing for $1.8  billion in aggregate principal amount of
senior term  debt and  up to  $500.0 million  in aggregate  principal amount  of
senior  revolving  debt,  including  any  related  notes,  collateral documents,
instruments and agreements executed in connection therewith, and in each case as
amended, modified, extended, renewed, refunded, replaced or refinanced, in whole
or in part, from time to time.
 
    "DESIGNATED SENIOR AND SENIOR  SUBORDINATED DEBT" means (i)  so long as  any
Obligations are outstanding under the Credit Facility, such Obligations and (ii)
thereafter,  any other Senior and Senior  Subordinated Debt the principal amount
of which is $100.0 million or more  and that has been designated by the  Company
as "Designated Senior and Senior Subordinated Debt."
 
    "DISQUALIFIED  STOCK" means any Capital Stock that,  by its terms (or by the
terms of  any  security  into  which  it is  convertible  or  for  which  it  is
exchangeable),  or upon  the happening of  any event, matures  or is mandatorily
redeemable, pursuant to a sinking fund obligation or otherwise, or redeemable at
the option of the Holder thereof, in whole  or in part, on or prior to the  date
on which the Notes mature.
 
    "GAAP"  means  generally accepted  accounting  principles set  forth  in the
opinions and pronouncements of the  Accounting Principles Board of the  American
Institute  of Certified Public Accountants  and statements and pronouncements of
the Financial Accounting  Standards Board or  in such other  statements by  such
other  entity as have been  approved by a significant  segment of the accounting
profession, as in effect from time to time.
 
    "GUARANTEE" means  a  guarantee (other  than  by endorsement  of  negotiable
instruments  for  collection  in the  ordinary  course of  business),  direct or
indirect, in any manner  (including, without limitation,  letters of credit  and
reimbursement  agreements  in  respect  thereof),  of all  or  any  part  of any
Indebtedness.
 
    "HEDGING OBLIGATIONS" means, with respect to any Person, the obligations  of
such  Person  under  (i)  interest  rate  swap  agreements,  interest  rate  cap
agreements and interest rate collar agreements, (ii) foreign exchange  contracts
or  currency swap agreements and (iii) other agreements or arrangements designed
to protect  such  Person against  fluctuations  in interest  rates  or  currency
values.
 
    "INDEBTEDNESS"  means, with respect to any  Person, any indebtedness of such
Person, whether or not contingent, in respect of borrowed money or evidenced  by
bonds,  notes,  debentures  or  similar instruments  or  letters  of  credit (or
reimbursement  agreements  in  respect  thereof)  or  banker's  acceptances   or
representing Capital Lease Obligations or the balance deferred and unpaid of the
purchase  price of any property or  representing any Hedging Obligations, except
any such balance that constitutes an accrued expense or trade payable, if and to
the extent any of the foregoing  indebtedness (other than letters of credit  and
Hedging  Obligations) would appear as  a liability upon a  balance sheet of such
Person prepared in accordance with GAAP,  as well as all indebtedness of  others
secured  by a Lien on any asset of such Person (whether or not such indebtedness
is assumed  by such  Person) and,  to  the extent  not otherwise  included,  the
Guarantee by such person of any indebtedness of any other Person.
 
                                       39
<PAGE>
    "LIEN" means, with respect to any asset, any mortgage, lien, pledge, charge,
security  interest or encumbrance of any kind  in respect of such asset given to
secure Indebtedness, whether or not filed, recorded or otherwise perfected under
applicable  law  (including  any  conditional  sale  or  other  title  retention
agreement,  any lease in  the nature thereof,  any option or  other agreement to
sell or give a security interest in and  any filing of or agreement to give  any
financing  statement under the Uniform  Commercial Code (or equivalent statutes)
of any jurisdiction with  respect to any such  lien, pledge, charge or  security
interest).
 
    "MARKET  PRICE" means  as of  any time of  determination the  average of the
Sales Prices of the Vencor Common Stock (or other securities held by the  Escrow
Agent)  for the  five Business Day  period (appropriately adjusted  to take into
account the occurrence during such period of certain events that would result in
an adjustment of  the Exchange  Rate with respect  to the  Vencor Common  Stock)
commencing on the first Business Day after delivery by the Company or the Escrow
Agent  of notice to the Holders that the Company has elected to pay cash in lieu
of delivering shares of Vencor Common Stock (or other property deliverable  upon
such exchange) in exchange for any Notes. Because the Market Price is determined
after  delivery of the  exchange notice, Holders  of Notes bear  the market risk
with respect to the value of Vencor Common Stock (or other property  deliverable
upon  such exchange) from the date of delivery  of such notice until the date of
determination of such Market Price. The period between the date of delivery by a
holder of a notice of exchange and the date of determination of the Market Price
may not exceed seven Business Days.
 
    "MOODY'S" means Moody's Investors Services, Inc. and its successors.
 
    "OBLIGATIONS"   means    any   principal,    interest,   penalties,    fees,
indemnifications,  reimbursements, damages  and other  liabilities payable under
the documentation governing any Indebtedness.
 
    "RATING AGENCIES" means (i) S&P and (ii) Moody's or (iii) if S&P or  Moody's
or  both shall not make  a rating of the  Notes publicly available, a nationally
recognized securities rating agency or agencies, as the case may be, selected by
the Company, which shall be substituted for S&P or Moody's or both, as the  case
may be.
 
    "RATING  CATEGORY"  means (i)  with  respect to  S&P,  any of  the following
categories: BB, B, CCC, CC, C  and D (or equivalent successor categories);  (ii)
with  respect to Moody's, any of the following categories: Ba, B, Caa, Ca, C and
D (or equivalent  successor categories); and  (iii) the equivalent  of any  such
category of S&P or Moody's used by another Rating Agency. In determining whether
the  rating of  the Notes  has decreased by  one or  more gradations, gradations
within Rating Categories  (+ and  - for  S&P, 1,  2 and  3 for  Moody's; or  the
equivalent  gradations for  another Rating Agency)  shall be  taken into account
(e.g., with respect to S&P, a decline in rating from BB+ to BB, as well as  from
BB- to B+, will constitute a decrease of one gradation).
 
    "RATING  DATE" means the date which is 90 days prior to the earlier of (i) a
Change of Control and (ii) the first public notice of the occurrence of a Change
of Control or of the intention by the Company to effect a Change of Control.
 
    "RATING DECLINE" means the occurrence on or within 90 days after the date of
the first public  notice of  the occurrence  of a Change  of Control  or of  the
intention  by the Company to  effect a Change of  Control (which period shall be
extended so  long  as  the rating  of  the  Notes is  under  publicly  announced
consideration  for possible downgrade by any of  the Rating Agencies) of: (a) in
the event the Notes  are rated by either  Moody's or S&P on  the Rating Date  as
Investment  Grade, a decrease in the rating of the Notes by both Rating Agencies
to a rating that is  below Investment Grade, or (b)  in the event the Notes  are
rated  below Investment  Grade by  both Rating  Agencies on  the Rating  Date, a
decrease in the  rating of  the Notes  by either Rating  Agency by  one or  more
gradations  (including gradations  within Rating  Categories as  well as between
Rating Categories).
 
    "SENIOR AND SENIOR SUBORDINATED DEBT" means any Indebtedness of the Company,
unless the  instrument  under  which such  Indebtedness  is  incurred  expressly
provides  that it is on a parity with or subordinated in right of payment to the
Notes and all Obligations with respect to any such Indebtedness. Notwithstanding
anything to the contrary in the  foregoing, Senior and Senior Subordinated  Debt
will not include (w) any liability for Federal, state, local or other taxes owed
or  owing by  the Company,  (x) any Indebtedness  of the  Company to  any of its
Subsidiaries or other Affiliates or (y) any trade payables.
 
                                       40
<PAGE>
    "SIGNIFICANT SUBSIDIARY" means any Subsidiary  that would be a  "significant
subsidiary"  as defined in  Article 1, Rule 1-02  of Regulation S-X, promulgated
pursuant to the Securities Act, as such  Regulation is in effect on the date  of
the Indenture.
 
    "S&P" means Standard & Poor's Corporation and its successors.
 
    "SUBSIDIARY"  means,  with  respect  to  any  Person,  (i)  any corporation,
association or other business entity of which more than 50% of the total  voting
power  of shares of Capital Stock entitled  (without regard to the occurrence of
any contingency) to  vote in  the election  of directors,  managers or  trustees
thereof  is at  the time  owned or controlled,  directly or  indirectly, by such
Person or  one or  more other  Subsidiaries  of that  Person (or  a  combination
thereof)  and (ii) any partnership (a) the  sole general partner or the managing
general partner of which is such Person  or a Subsidiary of such Person (or  any
combination thereof).
 
    "WEIGHTED  AVERAGE LIFE TO MATURITY" means, when applied to any indebtedness
at any  date, the  number of  years  obtained by  dividing (i)  the sum  of  the
products  obtained  by  multiplying  (a)  the  amount  of  each  then  remaining
installment, sinking  fund,  serial  maturity  or  other  required  payments  of
principal,  including payment at final maturity,  in respect thereof, by (b) the
number of years (calculated to the nearest one-twelfth) that will elapse between
such date and the making of such payment, by (ii) the then outstanding principal
amount of such Indebtedness.
 
                                       41
<PAGE>
                      DESCRIPTION OF THE CREDIT AGREEMENT
 
    Morgan  Guaranty  Trust Company  of New  York  ("Morgan Guaranty"),  Bank of
America N.T.&S.A., The Bank of New York and Bankers Trust Company (collectively,
the "Arranging Agents") and a syndicate of other lenders (the "Lenders") provide
the Company  with the  $2.3 billion  credit agreement  (the "Credit  Agreement")
expiring  in 2001  consisting of (i)  the six-and-a-half  year amortizing senior
term debt (the "Senior Term Debt") originally in the aggregate principal  amount
of  $1.8  billion,  and  (ii)  the  six-and-a-half  year  $500.0  million senior
revolving debt (the "Senior Revolving Debt"), with a letter of credit option not
to exceed $100.0 million. The Arranging Agents also provide a separate letter of
credit facility to the Company in an aggregate principal amount of approximately
$91.0 million, upon  terms substantially  similar to the  Credit Agreement  (the
"Metrocrest  Letter  of  Credit  Facility").  The  Metrocrest  Letter  of Credit
Facility replaced a previous letter of credit facility established in connection
with certain  bonds issued  by  Metrocrest Hospital  Authority  as part  of  the
financing  of two hospitals  operated by subsidiaries of  the Company. The Notes
will be subordinated to the Company's obligations under the Credit Agreement and
the Metrocrest Letter of Credit Facility.
 
    INTEREST RATE.   Loans  under the  Credit Agreement  bear interest,  at  the
option of the Company, at either (i) a base rate equal to the higher of the rate
announced  from time to time  by Morgan Guaranty as its  prime rate or the daily
federal funds rate plus 50 basis points  plus, in each case, an interest  margin
ranging  from  zero to  50 basis  points based  on the  ratios of  the Company's
consolidated net earnings before interest, taxes, depreciation and  amortization
and  other noncash charges  to interest expense  and the ratio  of the Company's
consolidated total  debt  to  the Company's  consolidated  net  earnings  before
interest, taxes, depreciation and amortization and other noncash charges or (ii)
the London interbank offered rate (as adjusted for certain reserve requirements)
for 1-, 2-, 3- or 6-month periods plus an interest margin ranging from 50 to 150
basis  points based on the respective levels of the same ratios. Commitment fees
also will be payable to each Lender based on the unused amount of such  Lender's
commitment  to make loans at  rates ranging from 18.75  basis points to 50 basis
points as determined by reference to the same ratios.
 
    SECURITY.  The Company's obligations under the Credit Agreement are  secured
by  a first priority lien on (i) the  capital stock of the Company's present and
future direct subsidiaries,  (ii) all indebtedness  owed to the  Company by  its
subsidiaries  and (iii) one  of the Company's  subsidiary's equity investment in
Westminster Health Care Holdings PLC ("Westminster").
 
    MANDATORY PAYMENTS.  The Company  must make quarterly mandatory payments  on
the Senior Term Debt in each fiscal year in the annual amounts set forth below:
 
   
<TABLE>
<CAPTION>
                                        AS OF NOVEMBER 30, 1995
                                     ------------------------------
YEAR ENDED MAY 31,                   HISTORICAL    AS ADJUSTED (1)
- -----------------------------------  -----------  -----------------
<S>                                  <C>          <C>
1996...............................   $   133.1       $   133.1
1997...............................       177.5           177.5
1998...............................       222.5           222.5
1999...............................       312.5           312.5
2000...............................       357.5           357.5
2001...............................       402.5            62.5
<FN>
- ------------------------
(1)  Adjusted to reflect repayment of the Senior Term Debt from the net proceeds
     of this Offering.
</TABLE>
    
 
   
    Additional prepayments will be required from the proceeds of certain events,
including  the sale  of certain assets  and offerings of  equity securities. The
Credit Agreement also requires the repayment of Senior Revolving Debt (without a
corresponding reduction  in  revolving  loan  commitments)  with  a  portion  of
proceeds  of a sale or other disposition  of the equity investments in Vencor or
Westminster or of the Company's  international subsidiaries, up to an  aggregate
of  $200.0 million; thereafter, all of the remaining proceeds of such sales must
be applied to  prepay the installments  of the Senior  Term Debt. All  mandatory
prepayments  of  the Senior  Term  Debt shall  be  applied in  inverse  order of
maturity until the installments due on August  31, 2001 and in fiscal year  2001
are paid in full and then to the remaining installments on a pro rata basis.
    
 
                                       42
<PAGE>
    COVENANTS.   The Credit Agreement includes various affirmative, negative and
financial  covenants,  including,  without   limitation,  (i)  restrictions   on
disposition of assets and the making of acquisitions and other investments, (ii)
prohibitions   on  the  prepayment,  redemption  or  defeasance  of  the  Notes,
subordinated indebtedness and certain  other indebtedness, (iii) limitations  on
debt   incurrence,  lien  incurrence,  dividends  and  stock  repurchases,  (iv)
limitations on mergers and  changes of business and  (v) a minimum  consolidated
net  worth  requirement, a  minimum fixed  charge coverage  ratio and  a maximum
leverage ratio.
 
    EVENTS OF DEFAULT.   Events of  default under the  Credit Agreement  include
various  events  of  default customary  for  such type  of  agreement including,
without limitation, events of default for  failure to pay principal or  interest
when  due (subject, in the case of interest, to specified grace periods), breach
of a  representation  or  warranty,  failure to  comply  with  a  covenant,  the
continuance  of a default under any  other indebtedness exceeding $25.0 million,
including the Notes, a change in control of the Company and the cessation of any
lien on any of the  collateral under the Credit  Agreement as a perfected  first
priority lien.
 
                                       43
<PAGE>
                    CERTAIN FEDERAL INCOME TAX CONSEQUENCES
 
    The  following is a  summary of certain  of the material  Federal income tax
consequences of  investing  in  the  Notes.  This  discussion  is  for  original
purchasers  of the  Notes and  is based  on the  Federal income  tax law  now in
effect, which is subject  to change, possibly  retroactively. This summary  does
not  discuss all  aspects of  Federal income  taxation that  may be  relevant to
particular noteholders in  light of their  individual investment  circumstances,
such as persons holding Notes as a hedge or as part of a straddle, or to certain
types of noteholders subject to special tax rules (E.G., financial institutions,
insurance companies, tax-exempt organizations, and foreign persons), nor does it
discuss  any  aspects of  state,  local or  foreign  tax law  consequences. This
summary assumes  that  investors  will  hold their  Notes  as  "capital  assets"
(generally,  property held  for investment) under  the Internal  Revenue Code of
1986, as amended. Each prospective investor is urged to consult his tax  advisor
regarding  the specific Federal, state, local,  and foreign income and other tax
consequences of the acquisition, holding, exchanging, or otherwise disposing  of
Notes.
 
    GENERAL.   There  is no precise  legal authority that  addresses the Federal
income tax  treatment  of  exchangeable debt  instruments  with  characteristics
similar  to  the  Notes. The  Internal  Revenue Service,  however,  is currently
reviewing  the  proposed  original  issue  discount  regulations  applicable  to
"contingent  payment" debt  instruments, which, when  issued in  final form, may
address the tax treatment of exchangeable debt instruments with  characteristics
similar  to  the  Notes.  The Company  believes  that  the  following discussion
describes the most  appropriate tax treatment  of the Notes  based on the  legal
authorities that are presently available. Prospective investors should note that
there  are possible alternative  treatments that may  have different results for
investors, including  some  that  may  be less  favorable.  In  addition,  final
original issue discount regulations may require different treatment and results.
Accordingly,  each prospective investor should consult his tax advisor regarding
the potential alternative tax treatments of the Notes.
 
    The Notes should  be treated,  for Federal income  tax purposes,  as a  unit
composed  of  a  debt component  (I.E.,  the  stated interest  payments  and the
principal amount due at maturity) (the "Debt Component") and an option component
(I.E., the exchange feature)  (the "Option Component"). The  issue price of  the
Notes  will be apportioned to each of  these components in accordance with their
relative fair  market value  on the  date  of issuance.  For this  purpose,  the
Company  has  determined  that for  each  $1,000.00 principal  amount  of Notes,
$      will be apportioned to the Debt Component and $      will be  apportioned
to the Option Component. This issue price allocation will likely be binding upon
a holder of a Note, for Federal income tax purposes, unless such holder adopts a
different  allocation that  is explicitly  disclosed on  his Federal  income tax
return timely filed for the year in which the Note is acquired.
 
    ORIGINAL ISSUE DISCOUNT.  The Debt Component will be treated as issued  with
original  issue discount, for Federal income tax purposes, in an amount equal to
the excess of the principal amount due  at maturity over the issue price of  the
Debt  Component. Holders will be required  to include original issue discount in
ordinary income over  the period  that they  hold the  Notes in  advance of  the
receipt  of the cash attributable thereto. The amount of original issue discount
to be included in income will be determined using a constant yield method, which
will result in a greater  portion of such discount  being included in income  in
the  later part  of the  term of  the Notes.  Any amount  included in  income as
original issue discount will  increase both the adjusted  issue price of, and  a
holder's tax basis in, the Debt Component.
 
   
    SALE.   A holder will recognize a gain  or loss upon a sale or other taxable
disposition of a Note (other than pursuant to the holder's exercise of the right
to exchange the Note for Vencor Common Stock (the "Exchange Right") as discussed
below) in an amount equal to the difference between the amount realized from the
disposition and the holder's aggregate adjusted tax basis in the Note (I.E., the
holder's aggregate  adjusted tax  basis in  the Debt  Component and  the  Option
Component).  Such gain  or loss should  be a capital  gain or loss,  and will be
long-term if the  Note has been  held for more  than one year.  It is  possible,
however,  that the contingent payment  original issue discount regulations, when
finalized, may  require  that all  or  a portion  of  such gain  be  treated  as
additional interest income that would be subject to tax as ordinary income.
    
 
    EXCHANGE OF NOTES FOR STOCK.  The exchange of a Note for Vencor Common Stock
pursuant  to  the  Exchange Right  should  be  treated, for  Federal  income tax
purposes, as a taxable disposition of the Note and, accordingly, a holder should
recognize a  gain or  loss on  the consummation  of the  exchange in  an  amount
 
                                       44
<PAGE>
equal to the difference between the fair market value of the Vencor Common Stock
received and the holder's aggregate adjusted tax basis in the Note (as described
above).  Such gain  or loss  should be  a capital  gain or  loss, which  will be
long-term if the Note  has been held  for more than one  year. The adjusted  tax
basis in the Vencor Stock received pursuant to the exchange will be equal to the
fair  market value  of the  Vencor Stock  at the  time of  the exchange  and the
holding period  for such  stock will  commence  the day  following the  date  of
exchange.
 
   
    EXCHANGE  OF NOTES FOR  CASH.  If the  holder tenders a  Note to the Company
pursuant to the  Exchange Right and  the Company elects  to settle the  exchange
with  cash rather than  with the Vencor  Stock, a holder  will recognize gain or
loss in an amount equal to the difference between the amount of cash received in
the exchange  and the  holder's aggregate  adjusted tax  basis in  the Note  (as
described  above). Although not free from doubt, (i) a portion of the gain equal
to the  difference  between the  aggregate  adjusted  issue price  of  the  Debt
Component  and  the face  amount of  the  Note should  be treated  as additional
interest income and (ii) any gain in excess thereof should be treated as capital
gain, which will be long-term if the Note has been held for more than one  year.
It  is possible,  however, that the  contingent payment  original issue discount
regulations, when finalized, may require that all  or a portion of such gain  be
treated as additional interest income subject to tax as ordinary income.
    
 
                                       45
<PAGE>
                                  UNDERWRITING
 
    Subject  to the terms and conditions set forth in the Underwriting Agreement
(the "Underwriting  Agreement")  between the  Company  and Donaldson,  Lufkin  &
Jenrette  Securities  Corporation ("DLJ")  and Merrill  Lynch, Pierce,  Fenner &
Smith Incorporated ("Merrill Lynch" and, together with DLJ, the "Underwriters"),
each of the Underwriters has severally agreed to purchase from the Company,  and
the Company has agreed to sell to each of the Underwriters, $          aggregate
principal  amount of  Notes set  forth opposite  its name  below, at  the public
offering price  set  forth  on the  cover  page  of this  Prospectus,  less  the
underwriting discount:
 
<TABLE>
<CAPTION>
                                                                                  PRINCIPAL
                                                                                  AMOUNT OF
UNDERWRITER                                                                         NOTES
- ------------------------------------------------------------------------------  --------------
<S>                                                                             <C>
Donaldson, Lufkin & Jenrette Securities Corporation...........................  $
Merrill Lynch, Pierce, Fenner & Smith
          Incorporated........................................................
                                                                                --------------
                                                                                $
                                                                                --------------
                                                                                --------------
</TABLE>
 
    The  Underwriting  Agreement provides  that the  obligations of  the several
Underwriters are subject to certain conditions precedent, including the approval
of certain legal  matters by counsel.  The Company has  agreed to indemnify  the
Underwriters  against  certain liabilities  and expenses,  including liabilities
under the Securities Act, or to contribute to payments that the Underwriters may
be required  to  make  in  respect thereof.  The  nature  of  the  Underwriters'
obligations  is such that the Underwriters are  committed to purchase all of the
Notes if any of the Notes are purchased by them.
 
    The Underwriters have  advised the Company  that they propose  to offer  the
Notes directly to the public initially at the public offering price set forth on
the  cover page of this Prospectus and to certain dealers at such offering price
less a concession not to exceed     % of the principal amount of the Notes.  The
Underwriters may reallow discounts not in excess of    % of the principal amount
of  the Notes to certain other dealers. After the initial public offering of the
Notes, the  offering  price  and other  selling  terms  may be  changed  by  the
Underwriters.
 
    The  Underwriters may not make any sales or series of sales of Notes with an
aggregate principal amount exceeding $    (convertible into Vencor Common  Stock
representing more than 2.5% of the voting power of the outstanding Vencor Common
Stock)  to  any  person  or  related groups  of  persons  who  would immediately
thereafter own or have the right to acquire more than 5% of the voting power  of
the outstanding Vencor Common Stock.
 
   
    The  Notes have  been approved  for listing,  subject to  official notice of
issuance, on the NYSE under the symbol  "THC D 05." Nevertheless, the Notes  are
new  issues of  securities, have  no established trading  market and  may not be
widely distributed.  The Company  has  been advised  by the  Underwriters  that,
following  the completion of this Offering, the Underwriters presently intend to
make a market in the Notes as permitted by applicable laws and regulations.  The
Underwriters,  however, are under no obligation to do so and may discontinue any
market-making activities at any time at the sole discretion of the Underwriters.
No assurance can  be given as  to the liquidity  of any trading  market for  the
Notes.
    
 
    DLJ  has provided  and is currently  retained to  provide certain investment
banking services to the  Company for which  it has received  and is entitled  to
receive  usual and customary fees. DLJ acted as financial advisor to the Company
in connection with the Merger and  the related transactions and with respect  to
the Company's investment in Hillhaven, for which it received usual and customary
fees. In addition, DLJ was the lead manager of the Senior Notes Offering.
 
                                       46
<PAGE>
                                 LEGAL MATTERS
 
    Certain legal matters as to the validity of the Notes offered hereby will be
passed upon for the Company by Scott M. Brown, Senior Vice President and General
Counsel  of the Company and  Skadden, Arps, Slate, Meagher  & Flom, Los Angeles,
California. Certain  legal matters  in  connection with  this Offering  will  be
passed  upon for  the Underwriters  by Davis  Polk &  Wardwell. With  respect to
certain matters governed by  Nevada law, Scott M.  Brown, Skadden, Arps,  Slate,
Meagher  & Flom and Davis  Polk & Wardwell will rely  on the opinion of Woodburn
and Wedge, Reno, Nevada.
 
                                    EXPERTS
 
    The consolidated  financial  statements  and schedule  of  Tenet  Healthcare
Corporation  as of  May 31,  1995 and  1994, and  for each  of the  years in the
three-year period ended May 31, 1995, have been incorporated by reference herein
and in the  Registration Statement  in reliance upon  the reports  of KPMG  Peat
Marwick LLP, independent certified public accountants, incorporated by reference
herein,  and  upon the  authority  of said  firm  as experts  in  accounting and
auditing. The  report  of  KPMG  Peat  Marwick  LLP  covering  the  consolidated
financial  statements refers to a change in  the method of accounting for income
taxes in 1994.
 
    The consolidated financial statements of American Medical Holdings, Inc. and
American  Medical  International,  Inc.  incorporated  in  this  Prospectus   by
reference  to the  Annual Report on  Form 10-K,  as amended, for  the year ended
August 31, 1994, have been  so incorporated in reliance  on the report of  Price
Waterhouse  LLP, independent accountants, given on the authority of said firm as
experts in auditing and accounting.
 
                                       47
<PAGE>
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
 
    NO  DEALER, SALESPERSON, OR ANY OTHER PERSON HAS BEEN AUTHORIZED TO GIVE ANY
INFORMATION OR  TO  MAKE  ANY  REPRESENTATIONS OTHER  THAN  THOSE  CONTAINED  OR
INCORPORATED  BY  REFERENCE  IN THIS  PROSPECTUS  AND,  IF GIVEN  OR  MADE, SUCH
INFORMATION OR REPRESENTATIONS MUST NOT BE RELIED UPON AS HAVING BEEN AUTHORIZED
BY THE COMPANY OR THE UNDERWRITER. THIS PROSPECTUS DOES NOT CONSTITUTE AN  OFFER
TO  SELL OR THE  SOLICITATION OF AN OFFER  TO BUY ANY  SECURITIES OTHER THAN THE
NOTES OFFERED HEREBY OR AN OFFER TO SELL OR THE SOLICITATION OF AN OFFER TO  BUY
THE  NOTES BY ANYONE IN ANY JURISDICTION  IN WHICH SUCH OFFER OR SOLICITATION IS
NOT AUTHORIZED OR IN WHICH THE PERSON  MAKING SUCH OFFER OR SOLICITATION IS  NOT
QUALIFIED  TO DO SO OR TO ANY PERSON IN ANY CIRCUMSTANCES IN WHICH SUCH OFFER OR
SOLICITATION IS UNLAWFUL. NEITHER THE DELIVERY  OF THIS PROSPECTUS NOR ANY  SALE
MADE HEREUNDER SHALL, UNDER ANY CIRCUMSTANCES, CREATE ANY IMPLICATION THAT THERE
HAS  BEEN NO CHANGE IN THE AFFAIRS OF  THE COMPANY SINCE THE DATE HEREOF OR THAT
THE INFORMATION CONTAINED  HEREIN IS CORRECT  AS OF ANY  TIME SUBSEQUENT TO  THE
DATE HEREOF.
 
                            ------------------------
 
                               TABLE OF CONTENTS
 
<TABLE>
<CAPTION>
                                                    PAGE
                                                    -----
<S>                                              <C>
Available Information..........................           2
Incorporation of Certain Documents by
 Reference.....................................           2
Prospectus Summary.............................           3
Risk Factors...................................          10
Use of Proceeds................................          17
Historical and Pro Forma Capitalization........          17
Ratio of Earnings to Fixed Charges.............          17
Pro Forma Financial Information................          18
Vencor.........................................          26
Relationship Between the Company and Vencor....          26
Price Range of Vencor Common Stock and
 Dividends.....................................          28
Description of Notes...........................          29
Description of the Credit Agreement............          42
Certain Federal Income Tax Consequences........          44
Underwriting...................................          46
Legal Matters..................................          47
Experts........................................          47
</TABLE>
 
                                     [LOGO]
 
                          TENET HEALTHCARE CORPORATION
 
   
                                  $350,000,000
    
   
                    % EXCHANGEABLE SUBORDINATED NOTES DUE 2005
    
 
                               -----------------
 
                                   PROSPECTUS
 
                               -----------------
 
                          DONALDSON, LUFKIN & JENRETTE
                                   SECURITIES CORPORATION
 
                              MERRILL LYNCH & CO.
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                                    PART II
                     INFORMATION NOT REQUIRED IN PROSPECTUS
 
ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION
 
    The  following table sets forth the  various expenses in connection with the
sale  and  distribution   of  the  securities   being  registered,  other   than
underwriting  discounts and commissions. All of  the amounts shown are estimated
except the SEC registration fee and the  NASD filing fee. The Company will  bear
all of such expenses.
 
   
<TABLE>
<S>                                                                 <C>
SEC registration fee..............................................  $ 120,690
NASD filing fee...................................................     30,500
Rating Agency Fee.................................................    100,000
Blue sky fees and expenses........................................     30,000
Printing and engraving expenses...................................    200,000
Legal fees and expenses...........................................    250,000
Accounting fees and expenses......................................     50,000
Trustee fees......................................................     15,000
Miscellaneous.....................................................      3,810
                                                                    ---------
    Total.........................................................  $ 800,000
                                                                    ---------
                                                                    ---------
</TABLE>
    
 
ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.
 
    Section 78.751 of the Nevada General Corporation Law ("Nevada Law") provides
generally  and in  pertinent part  that a  Nevada corporation  may indemnify its
directors and  officers  against  expenses, judgments,  fines,  and  settlements
actually  and reasonably incurred by  them in connection with  any civil suit or
action,  except  actions  by  or  in  the  right  of  the  corporation,  or  any
administrative or investigative proceeding if, in connection with the matters in
issue,  they acted in good faith and in  a manner they reasonably believed to be
in, or not opposed to, the best interests of the corporation, and in  connection
with  any criminal  suit or  proceeding, if  in connection  with the  matters in
issue, they  had no  reasonable cause  to believe  their conduct  was  unlawful.
Section  78.751  further  provides  that,  in  connection  with  the  defense or
settlement of  any action  by  or in  the right  of  the corporation,  a  Nevada
corporation  may indemnify its directors  and officers against expenses actually
and reasonably incurred  by them if,  in connection with  the matters in  issue,
they  acted in good faith, in a manner they reasonably believed to be in, or not
opposed to, the best interest of the corporation. Section 78.751 further permits
a Nevada corporation to  grant its directors and  officers additional rights  of
indemnification through by-law provisions and otherwise.
 
    Article  X of  the Restated  Articles of  Incorporation, as  amended, of the
Registrant and Article IX of the Restated By-Laws, as amended, of the Registrant
provide that the Registrant  shall indemnify its directors  and officers to  the
fullest  extent  permitted  by  Nevada  Law.  The  Registrant  has  entered into
indemnification agreements with  each of its  directors and executive  officers.
Such  indemnification agreements are intended to  provide a contractual right to
indemnification, to the maximum extent permitted by law, for expenses (including
attorneys' fees), judgments,  penalties, fines, and  amounts paid in  settlement
actually  and reasonably incurred by the  person to be indemnified in connection
with any proceeding (including, to the  extent permitted by applicable law,  any
derivative  action) to which they are, or are  threatened to be made, a party by
reason of their status in such positions. Such indemnification agreements do not
change the basic legal standards for indemnification set forth under Nevada  Law
or  the Restated Articles of Incorporation,  as amended, of the Registrant. Such
agreements are intended  to be  in furtherance, and  not in  limitation of,  the
general  right to indemnification provided in the Registrant's Restated Articles
of Incorporation, as amended.
 
    Section 78.037 of the Nevada Law provides that the articles of incorporation
may contain a  provision eliminating  or limiting  the personal  liability of  a
director  or officer to the corporation or its shareholders for monetary damages
for breach of fiduciary  duty as a director  provided that such provision  shall
not eliminate
 
                                      II-1
<PAGE>
or  limit the liability of a director or officer (i) for acts or omissions which
involve intentional misconduct  or a  knowing violation  of law,  or (ii)  under
Section  78.300  of  the  Nevada Law  (relating  to  liability  for unauthorized
acquisitions or redemptions of, or dividends on, capital stock).
 
    Insofar as indemnification for liabilities arising under the Securities  Act
may  be permitted to  directors, officers or  persons controlling the Registrant
pursuant to the foregoing provisions, the  Registrant has been informed that  in
the  opinion of the  Securities and Exchange  Commission such indemnification is
against public  policy as  expressed  in the  Securities  Act and  is  therefore
unenforceable.
 
ITEM 16.  EXHIBITS
 
   
<TABLE>
<C>          <S>
        1.1  Form of Underwriting Agreement between the Company and the Underwriters
        4.1  Form of Indenture between the Company and Bank of New York, as Trustee, relating
              to the Notes (including the form of certificate representing the Notes)
        4.2  Form  of Escrow Agreement  between the Company  and Bank of  New York, as Escrow
              Agent, relating to the Vencor Common Stock
        5.1* Opinion of Scott M. Brown, Esq.
        8.1  Opinion of Skadden, Arps, Slate, Meagher & Flom re: tax matters
       10.1* $2,300,000,000 Credit  Agreement,  dated as  of  February 28,  1995,  among  the
              Company,  the Lenders party thereto, Morgan Guaranty Trust Company of New York,
              Bank of America National  Trust and Savings Association,  The Bank of New  York
              and  Bankers  Trust Company,  as Arranging  Agents,  and Morgan  Guaranty Trust
              Company of  New York,  as Administration  Agent (Incorporated  by reference  to
              Exhibit 10(a) to the Registrant's Quarterly Report on Form 10-Q dated April 14,
              1995)
       10.2* Form  of Amendment No. 1  to the Credit Agreement, dated  as of August 31, 1995,
              among the Company, Morgan Guaranty Trust  Company of New York, Bank of  America
              N.T.&S.A.,  The Bank of New  York, Bankers Trust Company  and the other lenders
              parties thereto (Incorporated by reference to Exhibit 10.1 to the  Registrant's
              Amendment  No. 1  to the Registration  Statement on Form  S-3, Registration No.
              33-62591, dated September 26, 1995)
       11.1* Statement of Computation of Per Share Earnings for the three fiscal years  ended
              May  31, 1995 (incorporated by reference to  Exhibit 11 to the Company's Annual
              Report on Form 10-K for the fiscal year ended May 31, 1995)
       11.2* Statement of Computation of Per Share Earnings for the quarters ended August 31,
              1994 and  1995  (incorporated by  reference  to  Exhibit 11  to  the  Company's
              Quarterly Report on Form 10-Q for the fiscal quarter ended August 31, 1995)
       11.3* Statement  of Computation of  Pro Forma Per  Share Earnings for  the fiscal year
              ended May 31, 1995 and the quarters ended August 31, 1994 and 1995
       12.1* Statement of Computation of Ratios of Earnings to Fixed Charges
       12.2* Statement of Computation of Pro Forma Ratios of Earnings to Fixed Charges
       23.1* Consent of Scott M. Brown, Esq. (to be included in the opinion filed as  Exhibit
              5.1)
       23.2  Consent of KPMG Peat Marwick LLP
       23.3* Consent of Price Waterhouse LLP
       23.4  Consent  of Skadden, Arps, Slate, Meagher &  Flom (to be included in the opinion
              filed as Exhibit 8.1)
       24.1* Power of Attorney (included on page II-4)
       25.1* Statement of Eligibility of  Bank of New  York, as Trustee  with respect to  the
              Notes
</TABLE>
    
 
- ------------------------
   
* Previously filed.
    
 
                                      II-2
<PAGE>
ITEM 17.  UNDERTAKINGS
 
    (a)  The  undersigned Registrant  hereby  undertakes that,  for  purposes of
determining any liability under the Securities  Act of 1933, each filing of  the
Registrant's  annual report pursuant to Section 13(a) or 15(d) of the Securities
Exchange Act of 1934 (and, where applicable, each filing of an employee  benefit
plan's annual report pursuant to Section 15(d) of the Securities Exchange Act of
1934)  that is incorporated by reference  in the registration statement shall be
deemed to be  a new registration  statement relating to  the securities  offered
herein,  and the offering of such securities at  that time shall be deemed to be
the initial bona fide offering thereof.
 
    (b) The undersigned Registrant hereby undertakes  to deliver or cause to  be
delivered  with the Prospectus, to each person to whom the Prospectus is sent or
given, the latest  annual report  to security  holders that  is incorporated  by
reference   in  the  Prospectus  and  furnished  pursuant  to  and  meeting  the
requirements of Rule 14a-3  or Rule 14c-3 under  the Securities Exchange Act  of
1934;  and,  where interim  financial information  required  to be  presented by
Article 3 of Regulation S-X are not set forth in the Prospectus, to deliver,  or
cause  to be delivered to  each person to whom the  Prospectus is sent or given,
the latest quarterly report  that is specifically  incorporated by reference  in
the Prospectus to provide such interim financial information.
 
    (c)  Insofar as indemnification for liabilities arising under the Securities
Act of 1933 may be permitted  to directors, officers and controlling persons  of
the  Registrant  pursuant  to  the foregoing  provisions,  the  Nevada  Law, the
Restated Articles  of Incorporation,  and the  Restated Bylaws,  as amended,  or
otherwise, the Registrant has been advised that in the opinion of the Securities
and  Exchange  Commission  such  indemnification  is  against  public  policy as
expressed in the Act and is, therefore, unenforceable. In the event that a claim
for indemnification  against such  liabilities (other  than the  payment by  the
Registrant  of expenses incurred  or paid by a  director, officer or controlling
person of  the Registrant  in the  successful  defense of  any action,  suit  or
proceeding)  is  asserted by  such director,  officer  or controlling  person in
connection with the securities being registered, the Registrant will, unless  in
the opinion of its counsel the matter has been settled by controlling precedent,
submit  to  a  court  of  appropriate  jurisdiction  the  question  whether such
indemnification by it is against public policy as expressed in the Act and  will
be governed by the final adjudication of such issue.
 
    (d) The Registrant hereby undertakes that:
 
        (1)  For purposes of determining any  liability under the Securities Act
    of 1933, the information omitted from  the form of Prospectus filed as  part
    of  this Registration Statement in reliance  upon Rule 430A and contained in
    the form of Prospectus filed by the Registrant pursuant to Rule 424(b)(1) or
    (4) or 497(h) under the  Securities Act shall be deemed  to be part of  this
    Registration Statement as of the time it was declared effective.
 
   
        (2)  For the purpose  of determining any  liability under the Securities
    Act  of  1933,  each  post-effective  amendment  that  contains  a  form  of
    prospectus  shall be deemed  to be a new  registration statement relating to
    the securities offered therein, and the offering of such securities at  that
    time shall be deemed to be the initial BONA FIDE offering thereof.
    
 
                                      II-3
<PAGE>
                                   SIGNATURES
 
   
    Pursuant  to the requirements of the  Securities Act of 1933, the Registrant
certifies that it has  reasonable grounds to  believe that it  meets all of  the
requirements  for  filing on  Form  S-3 and  has  duly caused  this Registration
Statement to  be  signed  on  its behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City  of Santa Monica,  State of California  on December 12,
1995.
    
 
                                          TENET HEALTHCARE CORPORATION
 
                                          By:      /s/ JEFFREY C. BARBAKOW*
 
                                          --------------------------------------
                                                   Jeffrey C. Barbakow
                                                  CHAIRMAN OF THE BOARD
                                               AND CHIEF EXECUTIVE OFFICER
 
    Pursuant  to  the  requirements  of   the  Securities  Act  of  1933,   this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities and on the dates indicated:
 
   
<TABLE>
<CAPTION>
                    SIGNATURE                                    TITLE                         DATE
- --------------------------------------------------  --------------------------------  ----------------------
 
<C>                                                 <S>                               <C>
             /s/ JEFFREY C. BARBAKOW*               Chairman of the Board of          December 12, 1995
     ----------------------------------------        Directors and Chief Executive
               Jeffrey C. Barbakow                   Officer (Principal Executive
                 ATTORNEY-IN-FACT                    Officer)
 
            /s/ MICHAEL H. FOCHT, SR.*              President, Chief Operating        December 12, 1995
     ----------------------------------------        Officer and Director
              Michael H. Focht, Sr.
 
            /s/ RAYMOND L. MATHIASEN*               Senior Vice President and Chief   December 12, 1995
     ----------------------------------------        Financial Officer (Principal
               Raymond L. Mathiasen                  Financial and Accounting
                 ATTORNEY-IN-FACT                    Officer)
 
             /s/ BERNICE B. BRATTER*                Director                          December 12, 1995
     ----------------------------------------
                Bernice B. Bratter
 
                /s/ JOHN T. CASEY*                  Director                          December 12, 1995
     ----------------------------------------
                  John T. Casey
 
              /s/ MAURICE J. DEWALD*                Director                          December 12, 1995
     ----------------------------------------
                Maurice J. DeWald
</TABLE>
    
 
                                      II-4
<PAGE>
   
<TABLE>
<CAPTION>
                    SIGNATURE                                    TITLE                         DATE
- --------------------------------------------------  --------------------------------  ----------------------
 
<C>                                                 <S>                               <C>
               /s/ PETER DE WETTER*                 Director                          December 12, 1995
     ----------------------------------------
                 Peter de Wetter
 
             /s/ EDWARD EGBERT, M.D.*               Director                          December 12, 1995
     ----------------------------------------
               Edward Egbert, M.D.
 
               /s/ RAYMOND A. HAY*                  Director                          December 12, 1995
     ----------------------------------------
                  Raymond A. Hay
 
               /s/ LESTER B. KORN*                  Director                          December 12, 1995
     ----------------------------------------
                  Lester B. Korn
 
             /s/ JAMES P. LIVINGSTON*               Director                          December 12, 1995
     ----------------------------------------
               James P. Livingston
 
              /s/ ROBERT W. O'LEARY*                Director                          December 12, 1995
     ----------------------------------------
                Robert W. O'Leary
 
             /s/ THOMAS J. PRITZKER*                Director                          December 12, 1995
     ----------------------------------------
                Thomas J. Pritzker
 
            /s/ RICHARD S. SCHWEIKER*               Director                          December 12, 1995
     ----------------------------------------
               Richard S. Schweiker
 
                       *By:
       -----------------------------------
                  Scott M. Brown
                 ATTORNEY-IN-FACT
</TABLE>
    
 
                                      II-5
<PAGE>
                                 EXHIBIT INDEX
 
   
<TABLE>
<CAPTION>
                                                                                                            SEQUENTIALLY
EXHIBIT                                                                                                       NUMBERED
NUMBER                                               DESCRIPTION                                                PAGE
- ------     -----------------------------------------------------------------------------------------------  ------------
<C>        <S>                                                                                              <C>
    1.1    Form of Underwriting Agreement between the Company and the Underwriters........................
    4.1    Form of Indenture between the Company and Bank of New York, as Trustee, relating to the Notes
            (including the form of certificate representing the Notes)....................................
    4.2    Form of Escrow Agreement between the Company and Bank of New York, as Escrow Agent, relating to
            the Vencor Common Stock.......................................................................
    5.1*   Opinion of Scott M. Brown, Esq.
    8.1    Opinion of Skadden, Arps, Slate, Meagher & Flom re: tax matters................................
   10.1*   $2,300,000,000 Credit Agreement, dated as of February 28, 1995, among the Company, the Lenders
            party thereto, Morgan Guaranty Trust Company of New York, Bank of America National Trust and
            Savings Association, The Bank of New York and Bankers Trust Company, as Arranging Agents, and
            Morgan Guaranty Trust Company of New York, as Administration Agent (Incorporated by reference
            to Exhibit 10(a) to the Registrant's Quarterly Report on Form 10-Q dated April 14, 1995)
   10.2*   Form of Amendment No. 1 to the Credit Agreement, dated as of August 31, 1995, among the
            Company, Morgan Guaranty Trust Company of New York, Bank of America N.T.&S.A., The Bank of New
            York, Bankers Trust Company and the other lenders parties thereto (Incorporated by reference
            to Exhibit 10.1 to the Registrant's Amendment No. 1 to the Registration Statement on Form S-3,
            Registration No. 33-62591, dated September 26, 1995)
   11.1*   Statement of Computation of Per Share Earnings for the three fiscal years ended May 31, 1995
            (incorporated by reference to Exhibit 11 to the Company's Annual Report on Form 10-K for the
            fiscal year ended May 31, 1995)
   11.2*   Statement of Computation of Per Share Earnings for the quarters ended August 31, 1994 and 1995
            (incorporated by reference to Exhibit 11 to the Company's Quarterly Report on Form 10-Q for
            the fiscal quarter ended August 31, 1995)
   11.3*   Statement of Computation of Pro Forma Per Share Earnings for the fiscal year ended May 31, 1995
            and the quarters ended August 31, 1994 and 1995
   12.1*   Statement of Computation of Ratios of Earnings to Fixed Charges
   12.2*   Statement of Computation of Pro Forma Ratios of Earnings to Fixed Charges
   23.1*   Consent of Scott M. Brown, Esq. (to be included in the opinion filed as Exhibit 5.1)
   23.2    Consent of KPMG Peat Marwick LLP...............................................................
   23.3*   Consent of Price Waterhouse LLP
   23.4    Consent of Skadden, Arps, Slate, Meagher & Flom (to be included in the opinion filed as Exhibit
            8.1)..........................................................................................
   24.1*   Power of Attorney (included on page II-4)
   25.1*   Statement of Eligibility of Bank of New York, as Trustee with respect to the Notes
</TABLE>
    
 
- ------------------------
   
* Previously filed.
    

<PAGE>

                                                           [DRAFT]


- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------



                         TENET HEALTHCARE CORPORATION


                                      and


              DONALDSON, LUFKIN & JENRETTE SECURITIES CORPORATION
               MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED



                         ------------------------------


                             UNDERWRITING AGREEMENT


                         ------------------------------



                          Dated as of __________, 1995


- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

<PAGE>



                         TENET HEALTHCARE CORPORATION

                  % EXCHANGEABLE SUBORDINATED NOTES DUE 2007
                   EXCHANGEABLE FOR SHARES OF COMMON STOCK
                              OF VENCOR, INC.



                            UNDERWRITING AGREEMENT
                            ----------------------


                                                        __________, 1995


DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION
MERRILL LYNCH, PIERCE,
  FENNER & SMITH INCORPORATED
c/o Donaldson, Lufkin & Jenrette
       Securities Corporation
       140 Broadway
       New York, New York  10005

Ladies and Gentlemen:

            Subject to the terms and conditions herein contained, Tenet
Healthcare Corporation, a Nevada corporation (the "Company"), proposes to issue
and sell to Donaldson, Lufkin & Jenrette Securities Corporation ("DLJ") and
Merrill Lynch, Pierce, Fenner & Smith Incorporated (together with DLJ, the
"Underwriters") an aggregate of $_____ million principal amount of its    %
Exchangeable Subordinated Notes due 2007 (the "Securities").  The Securities are
to be issued pursuant to the provisions of an Indenture (the "Indenture") to be
dated as of __________, 1995, by and between the Company and The Bank of New
York, as Trustee (the "Trustee") and will also be subject to the provisions of
an escrow agreement to be dated as of __________, 1995 (the "Escrow Agreement")
between the Company and The Bank of New York, as Escrow Agent (the "Escrow
Agent").  The Securities will be exchangeable for shares ("Vencor Common
Shares") of common stock of Vencor, Inc., a Delaware corporation ("Vencor"), on
the terms set forth in the Securities, the Indenture and the Escrow Agreement.

      This Agreement, the Securities, the Indenture and the Escrow Agreement are
collectively referred to herein as the "Transaction Documents."

            1.    REGISTRATION STATEMENT AND PROSPECTUS.  The Company has
prepared and filed with the Securities and Exchange Commission (the
"Commission") in


<PAGE>



accordance with the provisions of the Securities Act of 1933, as amended, and
the rules and regulations of the Commission promulgated pursuant thereto
(collectively, the "Act"), a registration statement on Form S-3 (No. 33-     ),
with respect to the Securities, including a preliminary prospectus, subject to
completion, relating to the Securities.  The registration statement, as amended
at the time it becomes effective or, if a post-effective amendment is filed with
respect thereto, as amended by such post-effective amendment at the time of its
effectiveness (including in each case all documents incorporated or deemed to be
incorporated by reference therein, if any, all financial statements and
exhibits, and the information, if any, contained in a prospectus subsequently
filed with the Commission pursuant to Rule 424(b) under the Act and deemed to be
a part of the registration statement at the time of its effectiveness pursuant
to Rule 430A of the Act) is hereinafter referred to as the "Registration
Statement;" and the prospectus constituting a part of the Registration Statement
at the time it became effective, or such revised prospectus as shall be provided
to the Underwriters for use in connection with the offering of the Securities
that differs from the prospectus on file with the Commission at the time the
Registration Statement became effective (including, in each case, all documents
incorporated or deemed to be incorporated by reference therein, if any), whether
or not filed with the Commission pursuant to Rule 424(b) under the Act, is
hereinafter referred to as the "Prospectus."  Any reference herein to the
Registration Statement, the Prospectus, any amendment or supplement thereto or
any preliminary prospectus shall be deemed to refer to and include the documents
incorporated by reference therein, and any reference herein to the terms
"amend," "amendment" or "supplement" with respect to the Registration Statement
or Prospectus shall be deemed to refer to and include the filing after the
execution hereof of any document with the Commission deemed to be incorporated
by reference therein.

            2.    AGREEMENTS TO SELL AND PURCHASE.  On the basis of the
representations and warranties contained in this Agreement, and subject to its
terms and conditions, the Company agrees to issue and sell to the Underwriters,
and the Underwriters agree, severally and not jointly, to purchase from the
Company, the Securities in the respective principal amounts set forth opposite
their names on Schedule I hereto, plus such amount as they may individually
become obligated to purchase pursuant to Section 8 hereof, at a purchase price
equal to      % of the principal amount of the Securities together with accrued
interest, if any, to the Closing Date (the "Purchase Price").

            3.    DELIVERY AND PAYMENT.  Delivery to you of and payment for
the Securities shall be made at 10:00 A.M., New York City time, on __________,
1995 (such time and date being referred to as the "Closing Date"), at the
offices of DLJ at 140 Broadway, New York, New York 10005 (Cashier's Window, Main
Level), or such other place as you shall reasonably designate.

                  The Securities in definitive form shall be registered in such
names and issued in such denominations as you shall request in writing not later
than two full business days prior to the Closing Date, and shall be made
available to you at the offices


                                      - 2 -
<PAGE>



of DLJ (or at such other place as shall be acceptable to you) for inspection not
later than 10:00 A.M., New York City time, on the business day next preceding
the Closing Date.  The Securities shall be delivered to you on the Closing Date
with any transfer taxes payable upon initial issuance thereof duly paid by the
Company, for your respective accounts against payment of the Purchase Price by
certified or official bank checks payable in New York Clearing House funds to
the order of the Company.  The Closing Date and the location of delivery of, and
the form of payment for, the Securities may be varied by agreement between DLJ
and the Company.

            4.    AGREEMENTS OF THE COMPANY.  The Company agrees with each of
you that:

                  (a)   It will, if the Registration Statement has not
heretofore become effective under the Act, and if otherwise necessary or
required by law, file an amendment to the Registration Statement or, if
necessary pursuant to Rule 430A of the Act, a post-effective amendment to the
Registration Statement, in each case as soon as practicable after the execution
and delivery of this Agreement, and it will use its best efforts to cause the
Registration Statement or such post-effective amendment to become effective at
the earliest possible time.  If the Registration Statement has become effective
and the Company, omitting from the Prospectus certain information in reliance
upon Rule 430A of the Act, elects not to file a post-effective amendment
pursuant to Rule 430A of the Act, it will file the form of Prospectus required
by Rule 424(b) of the Act within the time period specified by Rule 430A and Rule
424(b) of the Act.  The Company will otherwise comply in a timely manner with
all applicable provisions of Rule 424 and Rule 430A of the Act.

                  (b)   It will advise DLJ promptly and, if requested by DLJ,
confirm such advice in writing, (i) when the Registration Statement has become
effective, if and when the Prospectus is sent for filing pursuant to Rule 424 of
the Act and when any post-effective amendment to the Registration Statement
becomes effective, (ii) of the receipt of any comments from the Commission or
any state securities commission or any other regulatory authority that relate to
the Registration Statement or requests by the Commission or any state securities
commission or any other regulatory authority for any amendment or supplement to
the Registration Statement or any amendment or supplements to the Prospectus or
for additional information, (iii) of the issuance by the Commission of any stop
order suspending the effectiveness of the Registration Statement, or of the
suspension of qualification of the Securities for offering or sale in any
jurisdiction, or the initiation of any proceeding for such purpose by the
Commission or any state securities commission or any other regulatory authority
and (iv) of the happening of any event during the period referred to in
paragraph (d), below, which makes any statement of a material fact made in the
Registration Statement untrue or which requires the making of any additions to
or changes in the Registration Statement in order to make the statements therein
not misleading or that makes any statement of a material fact made in the
Prospectus untrue or which requires the making of any addition to or change in
the Prospectus in order to make the statements therein, in light of the


                                      - 3 -
<PAGE>



circumstances under which they were made, not misleading.  The Company shall use
its best efforts to prevent the issuance of any stop order or order suspending
the qualification or exemption of the Securities under any Federal or state
securities or Blue Sky laws, and, if at any time the Commission shall issue any
stop order suspending the effectiveness of the Registration Statement, or any
state securities commission or any other regulatory authority shall issue an
order suspending the qualification or exemption of the Securities under any
state securities or Blue Sky laws, the Company shall use every reasonable effort
to obtain the withdrawal or lifting of such order at the earliest possible time.

                  (c)   Promptly after the Registration Statement becomes
effective, and from time to time thereafter for such period as in your
reasonable judgment a prospectus is required to be delivered in connection with
sales of the Securities by an Underwriter or a dealer, it will furnish to each
Underwriter and each dealer, without charge, as many copies of the Prospectus,
including all documents incorporated by reference therein, (and of any amendment
or supplement to the Prospectus) as you may reasonably request.

                  (d)   If during the period specified in paragraph (c) of this
Section 4 any event shall occur as a result of which it becomes necessary to
amend or supplement the Prospectus in order to make the statements therein, in
the light of the circumstances existing as of the date the Prospectus is
delivered to an offeree or a purchaser, not misleading, or if it is necessary to
amend or supplement the Prospectus to comply with any law, it will promptly
prepare and file with the Commission an appropriate amendment or supplement to
the Prospectus so that the statements in the Prospectus, as so amended or
supplemented, will not, in the light of the circumstances existing as of the
date the Prospectus is so delivered, be misleading, and will comply with
applicable law, and will promptly notify you of such event and amendment or
supplement and furnish to you without charge such number of copies thereof as
you may reasonably request.

                  (e)   It will make generally available to its security
holders, as soon as practicable and for the time period specified by Rule 158
under the Act, a consolidated earnings statement which shall satisfy the
provision of Section 11(a) and Rule 158 of the Act.

                  (f)   Whether or not the transactions contemplated hereby are
consummated or this Agreement is terminated, it will pay and be responsible for
all costs, charges, expenses, fees and taxes incurred in connection with or
incident to (i) the preparation, printing, filing, distribution and delivery
under the Act of the Registration Statement (including financial statements and
exhibits), each preliminary prospectus, the Prospectus and all amendments and
supplements thereto, (ii) the registration with the Commission and the issuance
and delivery of the Securities, (iii) the printing and delivery of this
Agreement, the Indenture, the Escrow Agreement and all other agreements,
memoranda, reports, correspondence and other documents printed, distributed and
delivered in connection with the offering of the Securities, (iv) the
registration or


                                      - 4 -
<PAGE>



qualification of the Securities for offer and sale under the securities or Blue
Sky laws of the jurisdictions referred to in paragraph (i) below (including, in
each case, the reasonable fees and disbursements of counsel relating to such
registration or qualification and memoranda relating thereto and any filing fees
in connection therewith), (v) furnishing such copies of the Registration
Statement (including exhibits), Prospectus and preliminary prospectuses, and all
amendments and supplements to any of them, including any document incorporated
by reference therein, as may be reasonably requested by the Underwriters or by
dealers to whom Securities may be sold, (vi) any filing with the National
Association of Securities Dealers, Inc. (the "NASD") in connection with the
offering of the Securities (including, without limitation, any filing fees in
connection therewith but excluding the fees of Davis Polk & Wardwell, legal
counsel to the Underwriters ("Underwriters' Counsel")), (vii) the listing of the
Securities on the New York Stock Exchange (the "NYSE"), (viii) the rating of the
Securities by investment rating agencies, (ix) any "qualified independent
underwriter" as required by Schedule E of the Bylaws of the NASD (including fees
and disbursements of counsel for such qualified independent underwriter) and (x)
the performance by the Company of its other obligations under this Agreement,
including (without limitation) the fees of the Trustee and Escrow Agent, the
cost of their respective personnel and other internal costs, the cost of
printing and engraving the certificates representing the Securities, and all
expenses incident to the sale and delivery of the Securities to the
Underwriters.

                  (g)   It will furnish to DLJ, without charge, one signed copy
(plus one additional signed copy to Underwriters' Counsel) of the Registration
Statement as first filed with the Commission and of each amendment or supplement
to it, including each post-effective amendment, all exhibits filed therewith and
all documents incorporated by reference therein, and such number of conformed
copies of the Registration Statement as so filed and of each amendment to it,
including each post-effective amendment, but without exhibits, as you may
reasonably request.

                  (h)   It will not file any amendment or supplement to the
Registration Statement, whether before or after the time when it becomes
effective, or make any amendment or supplement to the Prospectus (other than any
document required to be filed under the Securities Exchange Act of 1934, as
amended, including the rules and regulations thereunder (collectively, the
"Exchange Act") that upon filing is deemed to be incorporated by reference
therein) of which you shall not previously have been advised and provided a copy
prior to the filing thereof or to which you shall reasonably object unless in
the opinion of legal counsel to the Company such amendment or supplement is
required by law to be filed; it will furnish to you at or prior to the filing
thereof a copy of any document that upon filing is deemed to be incorporated by
reference in the Registration Statement or Prospectus; and it will prepare and
file with the Commission, promptly upon your reasonable request, any amendment
or supplement to the Registration Statement or amendment or supplement to the
Prospectus which may be necessary or advisable in connection with the
distribution of the Securities by you, and will use its best efforts to cause
the same to become effective as promptly as possible.



                                      - 5 -
<PAGE>



                  (i)   Prior to any public offering of the Securities, it will
cooperate with you and Underwriters' Counsel in connection with the registration
or qualification of the Securities for offer and sale by the Underwriters under
the state securities or Blue Sky laws of such United States jurisdictions as you
may request.  The Company will continue such qualification in effect so long as
required by law for distribution of the Securities and will file such consents
to service of process or other documents as may be necessary in order to effect
such registration or qualification (PROVIDED, that the Company shall not be
obligated to qualify as a foreign corporation in any jurisdiction in which it is
not so qualified nor to take any action that would subject it to general consent
to service of process in any jurisdiction in which it is not now so subject).

                  (j)   It timely will complete all required filings and
otherwise comply fully in a timely manner with all provisions of the Exchange
Act to effect the registration of the securities pursuant thereto, and, during
the period specified in paragraph (c) of this Section 4, will file timely all
reports required to be filed by the Company with the Commission pursuant to
Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act and it will use its best
efforts to cause the Securities to be listed on the NYSE.

                  (k)   So long as any of the Securities are outstanding, it
will mail to each of the Underwriters, without charge, a copy of each report or
other publicly available information furnished to holders of the Securities, or
filed with the Commission, whether or not required by law or pursuant to the
Indenture, and such other publicly available information concerning the Company
and its subsidiaries as you may reasonably request, at the same time as such
reports or other information are furnished to such holders.

                  (l)   To the extent permitted by law, it will not voluntarily
claim, and will actively resist any attempts to claim, the benefit of any usury
laws against the holders of the Securities.

                  (m)   It will use the proceeds from the sale of the Securities
in the manner described in the Prospectus under the caption "Use of Proceeds."

                  (n)   During the period beginning on the date of this
Agreement and continuing to and including the Closing Date, it will not offer,
sell, contract to sell or otherwise dispose of any debt securities of the
Company or warrants, rights, or options to purchase debt securities of the
Company (other than (i) the Securities and (ii) commercial paper issued in the
ordinary course of business), without your prior written consent.

                  (o)   It will use its best efforts to do and perform all
things required to be done and performed under this Agreement by it prior to or
after the


                                      - 6 -
<PAGE>



Closing Date and will use its reasonable best efforts to satisfy all conditions
precedent on its part to be satisfied prior to the delivery of the Securities.

            5.    REPRESENTATIONS AND WARRANTIES.  The Company represents and
warrants to each Underwriter that:

                  (a)   When the Registration Statement becomes effective,
including on the date of effectiveness of any post-effective amendment, at the
date of the Prospectus (if different) and at the Closing Date, the Registration
Statement will comply in all material respects with the provisions of the Act,
and will not contain any untrue statement of a material fact or omit to state
any material fact required to be stated therein or necessary to make the
statements therein not misleading; at the date of the Prospectus, at the date of
any supplement or amendment to the Prospectus and at the Closing Date, the
Prospectus and each supplement or amendment thereto will not contain any untrue
statement of a material fact or omit to state any material fact necessary in
order to make the statements therein, in the light of the circumstances under
which they were made, not misleading, except that the representations and
warranties contained in this paragraph (a) shall not apply to statements in or
omissions from the Registration Statement or the Prospectus (or any supplement
or amendment to them) made in reliance upon and in conformity with information
relating to any Underwriter furnished to the Company in writing by or on behalf
of any Underwriter through DLJ expressly for use therein.  The Company
acknowledges for all purposes under this Agreement (including this paragraph and
Section 6 hereof) that the statements set forth in the last paragraph on the
cover page and the third paragraph under the caption "Underwriting" in the
Prospectus constitute the only written information furnished to the Company by
or on behalf of any Underwriter through DLJ expressly for use in the
Registration Statement, the preliminary prospectus, or the Prospectus (or any
amendment or supplement to any of them) and that the Underwriters shall not be
deemed to have provided any information (and therefore are not responsible for
any statements or omissions) pertaining to any arrangement or agreement with
respect to any party other than the Underwriters.  When the Registration
Statement becomes effective, the Indenture will be deemed to have been qualified
under and will conform in all material respects to the requirements of the Trust
Indenture Act of 1939, as amended, and the rules and regulations promulgated
pursuant thereto (collectively, the "TIA").  At the date of any post-effective
amendment to the Registration Statement, at the date of the Prospectus and any
amendment or supplement thereto (if different) and at the Closing Date, the
qualification of the Indenture under the TIA will not have been suspended and
the Indenture will conform in all material respects to the requirements of the
TIA.  No contract or document of a character required to be described in the
Registration Statement, the Prospectus or any of the documents incorporated by
reference therein or to be filed as an exhibit to the Registration Statement or
to any of the documents incorporated by reference therein has not been described
and filed as required.

                  (b)   Each preliminary prospectus and the Prospectus, filed as
part of the Registration Statement as originally filed or as part of any
amendment or


                                      - 7 -
<PAGE>



supplement thereto, or filed pursuant to Rule 424 or 430A under the Act,
complied when so filed in all material respects with the Act.

                  (c)   The documents incorporated by reference in the
Registration Statement, the Prospectus, any amendment or supplement thereto or
any preliminary prospectus, when they became or become effective under the Act
or were or are filed with the Commission under the Exchange Act, as the case may
be, conformed or will conform in all material respects with the requirements of
the Act or the Exchange Act, as applicable.

                  (d)   No action has been taken and no statute, rule,
regulation or order has been enacted, adopted or issued by any United States
Federal or state governmental body, agency or official which prevents the
issuance of the Securities, suspends the effectiveness of the Registration
Statement, prevents or suspends the use of any preliminary prospectus or
suspends the sale of the Securities in any jurisdiction referred to in Section
4(i) hereof; no injunction, restraining order, or order of any nature by any
Federal or state court has been issued with respect to the Company or any of its
subsidiaries which would prevent the issuance or sale of the Securities, suspend
the effectiveness of the Registration Statement, or prevent or suspend the use
of any preliminary prospectus or Prospectus in any jurisdiction referred to in
Section 4(i) hereof.

                  (e)   The capitalization table set forth in the Prospectus
under the caption "Historical and Pro Forma Capitalization" identifies in
reasonable detail all outstanding short-term and long-term indebtedness and
shareholders' equity of the Company and its subsidiaries, prior to and after
giving PRO FORMA effect to the consummation of the offering of the Securities,
the application of the net proceeds therefrom as described in the Prospectus and
certain other transactions described in the Prospectus.

                  (f)   The Indenture has been duly authorized by the Company
and, when duly executed and delivered in accordance with its terms, will be a
valid and legally binding agreement of the Company, enforceable against the
Company in accordance with its terms, subject to applicable bankruptcy,
insolvency, reorganization, moratorium, fraudulent transfer and similar laws
affecting creditors' rights and remedies generally and to general principles of
equity (regardless of whether enforcement is sought in a proceeding at law or in
equity) and except to the extent that a waiver of rights under any usury laws
may be unenforceable.

                  (g)   The Escrow Agreement has been duly authorized, by the
Company and, when duly executed and delivered in accordance with its terms, will
be a valid and legally binding agreement of the Company, enforceable against the
Company in accordance with its terms, subject to applicable bankruptcy,
insolvency, reorganization, moratorium, fraudulent transfer and similar laws
affecting creditors' rights and remedies generally and to general principles of
equity (regardless of whether enforcement is sought in a proceeding at law or in
equity).  


                                      - 8 -
<PAGE>



                  (h)   The Securities have been duly authorized by the Company
and, when executed and delivered by the Company and authenticated by the Trustee
in accordance with the Indenture and paid for in accordance with the terms of
this Agreement, will constitute legal, valid and binding obligations of the
Company, enforceable against the Company according to their terms, subject to
applicable bankruptcy, insolvency, reorganization, moratorium, fraudulent
transfer and similar laws affecting creditors' rights and remedies generally and
to general principles of equity (regardless of whether enforcement is sought in
a proceeding at law or in equity) and except to the extent that a waiver of
rights under any usury laws may be unenforceable, will be entitled to the
benefits of the Indenture and will conform in all material respects to the
description thereof in the Prospectus.

                  (i)   This Agreement has been duly authorized and validly
executed and delivered by the Company and constitutes a valid and legally
binding agreement of the Company, enforceable against the Company in accordance
with its terms, subject to applicable bankruptcy, insolvency, reorganization,
moratorium, fraudulent transfer and similar laws affecting creditors' rights and
remedies generally and to general principles of equity (regardless of whether
enforcement is sought in a proceeding at law or in equity) and except to the
extent that rights to indemnification and contribution with respect to liability
in connection with Federal or state securities laws may be unenforceable under
such laws or the policies underlying such laws and except to the extent that a
waiver of rights under any usury laws may be unenforceable.

                  (j)   The execution and delivery of this Agreement by the
Company, the execution and delivery of the Indenture, the Escrow Agreement and
the Securities by the Company, the issuance and sale of the Securities, the
performance of the Company's obligations under this Agreement, the Securities,
the Indenture and the Escrow Agreement and the consummation of the transactions
contemplated by this Agreement, the Indenture and the Escrow Agreement
including, without limitation, the delivery of Vencor Common Shares pursuant to
the Securities will not conflict with or result in a breach or violation of any
of the respective charters or bylaws of the Company or any of its subsidiaries
(each, a "Subsidiary" and collectively, the "Subsidiaries") or any of the terms
or provisions of, or constitute a default or cause an acceleration of any
obligation under or result in the imposition or creation of (or the obligation
to create or impose) any security interest, mortgage, pledge, claim, lien,
encumbrance or adverse interest of any nature (each, a "Lien") with respect to,
any of the Transaction Documents or any other obligation, bond, agreement, note,
debenture, or other evidence of indebtedness, or any indenture, mortgage, deed
of trust or other agreement, lease or instrument (collectively, "Agreement") to
which the Company or any of the Subsidiaries is a party or by which it or any of
them is bound, or to which any properties of the Company or any of the
Subsidiaries is or may be subject, or any order of any court or governmental
agency, body or official having jurisdiction over the Company or any of the
Subsidiaries or any of their properties, or violate or conflict with any
statute, rule or regulation or administrative regulation or decree or court
decree applicable to the Company or any of the Subsidiaries, or any of their
respective assets or properties,


                                      - 9 -
<PAGE>



where, in any such instance, such conflict, breach, violation, default,
acceleration of indebtedness or Lien would have, singly or in the aggregate, a
material adverse effect on the assets, liabilities, results of operations,
financial condition or prospects of the Company and the Subsidiaries, taken as a
whole (a "Material Adverse Effect").

                  (k)   No authorization, approval or consent or order of, or
filing with, any court or governmental body, agency or official is necessary in
connection with the transactions contemplated by this Agreement, except such as
may be required by the NASD or have been obtained and made under the Act, the
Exchange Act, the TIA or state securities or Blue Sky laws or regulations.
Neither the Company nor, to the best of the Company's knowledge, any of its
affiliates is presently doing business with the government of Cuba or with any
person or affiliate located in Cuba.

                  (l)   The Securities have been approved for listing on the
NYSE, subject to official notice of issuance.

                  (m)   The Company has been duly organized, is validly existing
as a corporation in good standing under the laws of the State of Nevada and has
the requisite power and authority to carry on its business as it is currently
being conducted, to own, lease and operate its properties and to authorize the
offering of the Securities, to execute, deliver and perform this Agreement and
to issue, sell and deliver the Securities, and is duly qualified and is in good
standing as a foreign corporation authorized to do business in each jurisdiction
where the operation, ownership or leasing of property or the conduct of its
business requires such qualification and where failure to be so qualified or in
good standing would have a Material Adverse Effect.  Each of the Subsidiaries of
the Company that (i) directly or indirectly own or lease any interest in any
hospitals, healthcare facilities or medical office buildings, (ii) directly or
indirectly conduct any insurance activities or (iii) are otherwise material to
the Company and the Subsidiaries, taken as a whole (collectively, the
"Significant Subsidiaries"), has been duly organized, is validly existing as a
corporation in good standing under the laws of its jurisdiction of incorporation
and has the requisite power and authority to carry on its business as it is
currently being conducted and to own, lease and operate its properties and each
is duly qualified and is in good standing as a foreign corporation authorized to
do business in each jurisdiction where the operation, ownership or leasing of
property or the conduct of its business requires such qualifications and where
failure to be so qualified or in good standing would have a Material Adverse
Effect.

                  (n)   All of the issued and outstanding shares of capital
stock of, or other ownership interests in, each of the Significant Subsidiaries
have been duly authorized and validly issued, and all of the shares of capital
stock of, or other ownership interests in, each of the Significant Subsidiaries
other than Australian Medical Enterprises Limited ("AME") are owned, directly or
through subsidiaries, by the Company. All such shares of capital stock are fully
paid and nonassessable, and are owned free and clear of any Lien, except Liens
securing indebtedness under the Credit Agreement (as defined in the Prospectus),
and there are no outstanding subscriptions, rights, warrants, options,


                                      - 10 -
<PAGE>



calls, convertible or exchangeable securities, commitments of sale, or Liens
related to or entitling any person to purchase or otherwise to acquire any
shares of the capital stock of, or other ownership interest in, any of the
Subsidiaries, except that shareholders of AME have certain preemptive rights
with respect to rights offerings by AME.

                  (o)   Neither the Company nor the Significant Subsidiaries is
in violation of its respective charter or bylaws and neither the Company nor the
Subsidiaries is in default in the performance of any obligation, bond,
agreement, debenture, note or any other evidence of indebtedness, or any
indenture, mortgage, deed of trust or other contract, lease or other instrument
to which the Company or any of the Subsidiaries is a party or by which any of
them is bound, or to which any of the property or assets of the Company or any
of the Subsidiaries is subject, except as would not have, singly or in the
aggregate, a Material Adverse Effect.

                  (p)   Except as disclosed in the Registration Statement or the
Prospectus, there is no action, suit, proceeding or investigation before or by
any court, governmental agency or body, arbitration board or tribunal, or
governmental or private accrediting body, domestic or foreign, pending against
or affecting the Company or any of the Subsidiaries, or any of their respective
assets or properties, which is required to be disclosed in the Registration
Statement or the Prospectus, or in which there is a reasonable possibility of
adverse decisions which in the aggregate could reasonably be expected to have a
Material Adverse Effect, or which might materially and adversely affect the
Company's performance of its obligations, as applicable, pursuant to this
Agreement (including, without limitation, the issuance of the Securities), the
Indenture, the Escrow Agreement or the transactions contemplated hereby and
thereby, and to the best of the Company's knowledge, after due inquiry, no such
action, suit, or proceeding is contemplated or threatened.

                  (q)   Except as disclosed in the Registration Statement or the
Prospectus, neither the Company nor the Subsidiaries is subject to any judgment,
order or decree of any court, governmental authority or arbitration board or
tribunal which has had or which can reasonably be expected to have, a Material
Adverse Effect.

                  (r)   The firms of accountants that have certified or shall
certify the applicable consolidated financial statements and supporting
schedules and the notes thereto of the Company and American Medical Holdings,
Inc., a Delaware corporation ("AMH"), filed or to be filed with the Commission
as part of the Registration Statement and the Prospectus or incorporated therein
by reference are, to the best of the Company's knowledge, independent public
accountants with respect to the Company and its Subsidiaries and AMH and its
Subsidiaries, as the case may be, as required by the Act.  The consolidated
financial statements, together with related schedules and notes, set forth or
incorporated by reference in the Prospectus and the Registration Statement,
comply as to form in all material respects with the requirements of the Act and
fairly present the consolidated financial position of the Company and its
Subsidiaries and AMH and its Subsidiaries, as the case may be, at the respective
dates indicated and the results of their


                                      - 11 -
<PAGE>



operations and their cash flows for the respective periods indicated, in
accordance with generally accepted accounting principles in the United States of
America ("GAAP") consistently applied throughout such periods and in accordance
with Regulation S-X.  The PRO FORMA financial statements contained in the
Registration Statement have been prepared in conformity with the standards set
forth in Rule 11-02 of Regulation S-X and on a basis consistent with such
historical statements and give effect to assumptions made on a reasonable basis
and present fairly the historical and proposed transactions contemplated by the
Prospectus and this Agreement.  The Company's ratio of earnings to fixed charges
(actual and PRO FORMA) included in the Prospectus under the captions
"Prospectus Summary--Summary Pro Forma Financial Information," "Pro Forma
Financial Information" and in Exhibits 12.1 and 12.2 to the Registration
Statement have been calculated in compliance with Item 503(d) of the
Commission's Regulation S-K.  The other financial and statistical information
and data of the Company included or incorporated by reference in the Prospectus
and in the Registration Statement, historical and PRO FORMA, are in all
material respects accurately presented and prepared on a basis consistent with
the books and records of the Company.

                  (s)   The projected amount of operating synergies and other
cost reductions resulting from the Merger (as defined in the Prospectus)
included in the Registration Statement was determined by the Company with a
reasonable basis and in good faith and the assumptions used in the determination
of the amount of such projected operating synergies and other cost reductions
are all those the Company believes are significant in projecting the amount of
such synergies and other cost reductions.  Notwithstanding the foregoing, no
assurance can be made as to the amount of cost savings, if any, that actually
will be realized.

                  (t)   Except as contemplated by the Registration Statement and
the Prospectus, subsequent to the respective dates as of which information is
presented in the Registration Statement and the Prospectus and up to the Closing
Date (i) neither the Company nor the Subsidiaries has incurred any liabilities
or obligations, direct or contingent, which are material to the Company and the
Subsidiaries, taken as a whole, or entered into any transaction not in the
ordinary course of business, (ii) there has been no decision or judgment in the
nature of litigation or arbitration that could reasonably be expected to have a
Material Adverse Effect, (iii) there has been no dividend or distribution of any
kind declared, paid or made by the Company on any class of its capital stock and
(iv) there has not been any material adverse change, or any development which
could involve a material adverse change, in the results of operations, assets,
liabilities, financial condition or prospects of the Company or its
Subsidiaries, taken as a whole (any of the items set forth in clauses (i), (ii),
(iii) or (iv) above, a "Material Adverse Change").

                  (u)   (i) Except as described in the Registration Statement or
Prospectus or as could not reasonably be expected to have a Material Adverse
Effect, each of the Company and the Subsidiaries has all certificates, consents,
exemptions, orders, permits, licenses, authorizations, accreditations or other
approvals or rights (each,


                                      - 12 -
<PAGE>



an "Authorization") of and from, and has made all declarations and filings with,
all Federal, state, local and other governmental authorities, all
self-regulatory organizations, all governmental and private accrediting bodies
and all courts and other tribunals, necessary or required to own, lease, license
and use its properties and assets and to conduct its business in the manner
described in the Prospectus, (ii) all such Authorizations are valid and in full
force and effect, except as could not reasonably be expected to have, singly or
in the aggregate, a Material Adverse Effect, (iii) the Company and the
Subsidiaries are in compliance with the terms and conditions of all such
Authorizations and with the rules and regulations of the regulatory authorities
and governing bodies having jurisdiction with respect thereto except as could
not reasonably be expected to have a Material Adverse Effect and (iv) neither
the Company nor the Subsidiaries has received any notice of proceedings relating
to the revocation or modification of any such Authorization.

                  (v)   The Company is not an "affiliate" of Vencor within the
meaning of Rule 144 promulgated by the Commission under the Act.

                  (w)   The [8,301,067] Vencor Common Shares to be delivered to
the Escrow Agent pursuant to the Exchange Agreement (the "Deposited of Shares")
have been duly authorized and validly issued and are fully paid and
non-assessable.

                  (x)   The Company will have at the time of delivery thereof to
the Escrow Agent valid and legal title to the Deposited Shares free and clear of
any Lien and if any Deposited Shares are delivered to a holder of Securities
pursuant to the terms of the Securities such holder will acquire valid and legal
title to such Deposited Shares free and clear of any Lien.

                  (y)   The Deposited Shares are listed on the New York Stock
Exchange.

                  (z)   It is not necessary to register the Deposited Shares
under the Act in connection with the offering and sale of the Securities in the
manner contemplated by this Agreement and the Prospectus.

                  (aa)  The factual statements set forth in the opinion of
Skadden, Arps, Slate, Meagher & Flom attached as Exhibit A hereto (the
"Non-affiliate Opinion") are true and correct.

                  (bb)  Neither the Company nor any agent acting on its behalf
has taken or will take any action that is reasonably likely to cause the
issuance or sale of the Securities to violate Regulation G, T, U, or X of the
Board of Governors of the Federal Reserve System, in each case as in effect, on
the date hereof.

                  (cc)  Neither the Company nor any of the Significant
Subsidiaries is (i) an "investment company" or a company "controlled" by an
investment company


                                      - 13 -
<PAGE>



within the meaning of the Investment Company Act of 1940, as amended, or (ii) a
"holding company" or a "subsidiary company" of a holding company, or an
"affiliate" thereof within the meaning of the Public Utility Holding Company Act
of 1934, as amended.

                  (dd)  Each certificate signed by any officer of the Company
and delivered to the Underwriters or the Underwriters' Counsel shall be deemed
to be a representation and warranty by the Company to each Underwriter as to the
matters covered thereby.

                  (ee)  There exists as of the date hereof (after giving effect
to the transactions contemplated by the Transaction Documents) no event or
condition which would constitute a default or an event of default (in each case
as defined in the Credit Agreement) under the Credit Agreement and no event or
condition which would constitute a default or an event of default (in each case
as defined in each of the Transaction Documents) under any of the Transaction
Documents which would reasonably be expected to result in a Material Adverse
Effect.

                  6.    INDEMNIFICATION.

                  (a)   The Company agrees to indemnify and hold harmless (i)
each of the Underwriters and their respective affiliates, (ii) each person, if
any, who controls (within the meaning of Section 15 of the Act or Section 20 of
the Exchange Act) any of the Underwriters or any of their respective affiliates
(any of the persons referred to in this clause (ii) being hereinafter referred
to as a "Controlling Person"), and (iii) each of the respective officers,
directors, partners, employees, representatives and agents of any of the
Underwriters or any Controlling Person, and each of their respective officers,
directors, partners, employees, representatives and agents (any person referred
to in clause (i), (ii) or (iii) of this Section 6(a) may hereinafter be referred
to as an "Indemnified Person") to the fullest extent lawful, from and against
any and all losses, claims, damages, judgments, actions, costs, assessments,
expenses and other liabilities (collectively, "Liabilities"), including without
limitation and as incurred, reimbursement of all reasonable costs of
investigating, preparing, pursuing or defending any claim or action, or any
investigation or proceeding by any foreign, Federal, state or local authority,
regulatory body, administrative agency, court or other governmental or
quasi-governmental body, commenced or threatened, including the reasonable fees
and expenses of counsel to any Indemnified Person, to the extent such
Liabilities are directly or indirectly caused by, related to, based upon or
arising out of, or in connection with, any untrue statement or alleged untrue
statement of a material fact contained in the Registration Statement (or any
supplement or amendment thereto), or the Prospectus (including any amendment or
supplement thereto) or any preliminary prospectus, or any omission or alleged
omission to state therein a material fact required to be stated therein or
necessary to make the statements therein (in the case of the Prospectus, in
light of the circumstances under which they were made) not misleading, except
insofar as such Liabilities are caused by any such untrue statement or omission
or alleged untrue


                                      - 14 -
<PAGE>



statement or omission that is (x) made in reliance upon and in conformity with
information relating to any of the Underwriters furnished in writing to the
Company by or on behalf of the Underwriter through DLJ expressly for use in the
Registration Statement (or any amendment or supplement thereto) or the
Prospectus (or any amendment or supplement thereto) or any preliminary
prospectus or (y) with respect to the Underwriter from whom the person asserting
the Liabilities purchased Securities, made in any preliminary prospectus if a
copy of the Prospectus (as amended or supplemented, if the Company shall have
furnished the Underwriters with such amendments or supplements thereto on a
timely basis) was not delivered by or on behalf of such Underwriter to the
person asserting the Liabilities, if required by law to have been so delivered
by the Underwriter seeking indemnification, at or prior to the written
confirmation of the sale of the Securities, and it shall be finally determined
by a court of competent jurisdiction, in a judgment not subject to appeal or
review, that the Prospectus (as so amended or supplemented) would have
completely corrected such untrue statement or omission.  The foregoing indemnity
shall be in addition to any liability that the Company might otherwise have to
any of the Underwriters and such other Indemnified Persons.  The Company shall
notify you promptly of the institution, threat or assertion of any claim,
proceeding (including any governmental investigation) or litigation in
connection with the matters addressed by this Agreement which involves the
Company or an Indemnified Person.

                  (b)   In case any action or proceeding (for all purposes of
this Section 6, including any governmental or quasi-governmental investigation)
shall be brought or asserted against any of the Indemnified Persons with respect
to which indemnity under this Section 6 may be sought against the Company, such
Underwriter (or the Underwriter controlled by such Controlling Person) promptly
shall notify the Company in writing and the Company shall assume the defense
thereof, including the employment of counsel reasonably satisfactory to such
Underwriter and payment of all fees and expenses; PROVIDED, that the delay or
failure to give such notice shall not relieve the Company from any liability
that it may have on account of the indemnity under this Section 6, unless and
only to the extent that such delay or omission materially adversely affects the
ability of the Company to defend or assume the defense of such action or
proceeding.  Upon receiving such notice, the Company shall be entitled to
participate in any such action or proceeding and to assume, at its sole expense,
the defense thereof, with counsel reasonably satisfactory to such Indemnified
Person (who shall not, except with the consent of the Indemnified Person to be
represented, be counsel to the Company or any of the Subsidiaries) and, after
written notice from the Company to such Indemnified Person of its election so to
assume the defense thereof within five business days after receipt of the notice
from the Indemnified Person of such action or proceeding, the Company shall not
be liable to such Indemnified Person hereunder for legal expenses of other
counsel subsequently incurred by such Indemnified Person in connection with the
defense thereof, other than reasonable costs of investigation, unless (i) the
Company agrees in writing to pay such fees and expenses, or (ii) the Company
fails promptly to assume such defense or fails to employ counsel reasonably
satisfactory to such Indemnified Person, or (iii) the named parties to any such
action or proceeding (including


                                      - 15 -
<PAGE>



any impleaded parties) include both such Indemnified Person and the Company or
an affiliate of the Company, and that Indemnified Person shall have been advised
in writing by counsel, with a copy of such writing to the Company, that either
(x) there may be one or more legal defenses available to such Indemnified Person
that are different from or additional to those available to the Company or such
affiliate or (y) a conflict may exist between such Indemnified Person and the
Company or such affiliate.  In the event of any of clause (i), (ii) and (iii) of
the immediately preceding sentence, the Company shall not have the right to
assume the defense thereof on behalf of the Indemnified Person and such
Indemnified Person shall have the right to employ its own counsel in any such
action and the fees and expenses of such counsel shall be paid, as incurred, by
the Company, subject to repayment to the Company if it is ultimately determined
that an Indemnified Person is not entitled to indemnification hereunder, it
being understood, however, that the Company shall not, in connection with any
one such action or proceeding or separate but substantially similar or related
actions in the same jurisdiction arising out of the same general allegations or
circumstances, be liable for the fees and expenses of more than one separate
firm of attorneys (in addition to any local counsel) for all of the Indemnified
Persons which firm shall be designated in writing by DLJ.  The Company shall not
be liable for any settlement of any such action or proceeding effected without
the Company's written consent, which consent may not be unreasonably withheld,
but if settled with the written consent of the Company, the Company agrees to
indemnify and hold harmless any Indemnified Person from and against any loss or
liability by reason of such settlement.  The Company shall not, without the
prior written consent of each Indemnified Person, settle, compromise or consent
to the entry of any judgment in or otherwise seek to terminate any pending or
threatened action, claim, suit, investigation or other proceeding in respect of
which any Indemnified Person is or could have been a party and indemnification
or contribution could have been sought hereunder by such Indemnified Person,
unless such settlement, compromise, consent or termination includes an
unconditional release of each Indemnified Person from all liability on claims
that are the subject matter of such proceeding.

                  (c)   Each of the Underwriters agrees, severally and not
jointly, to indemnify and hold harmless the Company, its directors, its officers
who sign the Registration Statement, and any person controlling (within the
meaning of Section 15 of the Act or Section 20 of the Exchange Act) the Company,
to the same extent as the foregoing indemnity from the Company to each of the
Indemnified Persons, but only with respect to claims and actions based on
information relating to such Underwriter furnished in writing by or on behalf of
such Underwriter through DLJ expressly for use in the Registration Statement,
Prospectus or preliminary prospectus, as applicable.  In case any action shall
be brought against the Company, any of its directors, any such officer, or any
such controlling person based on the Registration Statement, the Prospectus or
any preliminary prospectus in respect of which indemnity is sought against any
Underwriter pursuant to the foregoing sentence, the Underwriter shall have the
rights and duties given to the Company (except that if the Company shall have
assumed the defense thereof, such Underwriter shall not be required to do so,
but may employ separate counsel therein and participate in the defense thereof,
but the fees and expenses of such counsel shall be at


                                      - 16 -
<PAGE>



the expense of such Underwriter), and the Company, its directors, any such
officers, and each such controlling person shall have the rights and duties
given to the Indemnified Person by Section 6(b) above.

                  (d)   If the indemnification provided for in this Section 6 is
finally determined by a court of competent jurisdiction to be unavailable to an
Indemnified Person in respect of any Liabilities referred to herein, then the
Company, in lieu of indemnifying such Indemnified Person, shall contribute to
the amount paid or payable by such Indemnified Person as a result of such
Liabilities:  (i) in such proportion as is appropriate to reflect the relative
benefits received by the Company on the one hand and the Indemnified Person on
the other hand from the offering of the Securities,or (ii) if the allocation
provided by clause (i), above, is not permitted by applicable law, in such
proportion as is appropriate to reflect not only the relative benefits referred
to in clause (i), above, but also the relative fault of the Company and the
Indemnified Person in connection with the actions, statements or omissions that
resulted in such Liabilities, as well as any other relevant equitable
considerations.  The relative benefits received by the Company, on the one hand,
and any of the Underwriters (and its related Indemnified Persons), on the other
hand, shall be deemed to be in the same proportion as the total proceeds from
the offering (net of underwriting discounts and commissions but before deducting
expenses) received by the Company bear to the total underwriting discounts and
commissions received by such Underwriter, in each case as set forth in the
Prospectus.  The relative fault of the Company and the Underwriter shall be
determined by reference to, among other things, whether the untrue or alleged
untrue statement of a material fact or the omission or alleged omission to state
a material fact related to information supplied by the Company or the
Underwriter and the parties' relative intent, knowledge, access to information
and opportunity to correct or prevent such statement or omission.  The indemnity
and contribution obligations of the Company set forth herein shall be in
addition to any liability or obligation the Company may otherwise have to any
Indemnified Person.

                        The Company and the Underwriters agree that it would not
be just and equitable if contribution pursuant to this Section 6(d) were
determined by PRO RATA allocation (even if the Underwriters were treated as
one entity for such purpose) or by any other method of allocation that does not
take account of the equitable considerations referred to in the immediately
preceding paragraph.  The amount paid or payable by an indemnified party as a
result of the Liabilities referred to in the immediately preceding paragraph
shall be deemed to include, subject to the limitations set forth above, any
legal or other expenses reasonably incurred by such indemnified party in
connection with investigating or defending any such action or claim.
Notwithstanding the provisions of this Section 6, none of the Underwriters (and
its related Indemnified Persons referred to in Section 6 above) shall be
required to contribute, in the aggregate, any amount in excess of the amount by
which the total underwriting discount applicable to the Securities purchased by
such underwriter exceeds the amount of any damages or liabilities which such
Underwriter (and its related Indemnified Persons referred to in Section 6 above)
has otherwise been required to pay


                                      - 17 -
<PAGE>



or incur by reason of such untrue or alleged untrue statement or omission or
alleged omission or other indemnified action or proceeding.  Notwithstanding
anything to the contrary contained herein, no person guilty of fraudulent
misrepresentation (within the meaning of Section 11(f) of the Act) shall be
entitled to contribution from any person who was not guilty of such fraudulent
misrepresentation.  The Underwriters' obligations to contribute pursuant to this
Section 6(d) are several in proportion to the respective aggregate principal
amount of Securities purchased by each of the Underwriters hereunder and not
joint.

                  7.    CONDITIONS OF UNDERWRITERS' OBLIGATIONS.  The
respective obligations of the several Underwriters to purchase any Securities
under this Agreement are subject to the satisfaction or waiver by the several
underwriters of each of the following conditions on the Closing Date:

                        (a)   All the representations and warranties of the
Company contained or incorporated by reference in this Agreement shall be true
and correct on the Closing Date after giving effect to the transactions
contemplated by the Transaction Documents, with the same force and effect as if
made on and as of the Closing Date.  The Company and its Subsidiaries shall have
performed or complied with all of their obligations and agreements herein
contained and required to be performed or complied with by it at or prior to the
Closing Date.

                        (b)   (i) The Registration Statement shall have become
effective (or, if a post-effective amendment is required to be filed pursuant to
Rule 430A of the Act, such post-effective amendment shall have become effective
(or, if any Securities are sold in reliance upon Rule 430A of the Act and no
post-effective amendment is so required to be filed, the Prospectus shall have
been timely filed with the Commission in accordance with Section 4(a) hereof))
on the date of this Agreement or at such later date and time as you may approve
in writing, (ii) at the Closing Date, no stop order suspending the effectiveness
of the Registration Statement shall have been issued and no proceedings for that
purpose shall have been commenced or shall be pending before or contemplated by
the Commission and every request for additional information on the part of the
Commission shall have been complied with in all respects, (iii) no stop order
suspending the sale of the Securities in any jurisdiction referred to in Section
4(i) shall have been issued and no proceeding for that purpose shall have been
commenced or shall be pending or threatened, and (iv) since the effective date
of the Registration Statement, there shall not have occurred any event required
to be set forth in an amendment or supplement to the Registration Statement or
Prospectus that has not been set forth, and there shall not have been any
document required to be filed under the Exchange Act that upon such filing would
be deemed to be incorporated by reference in the Prospectus that has not been so
filed.

                  (c)   No action shall have been taken and no statute, rule,
regulation or order shall have been enacted, adopted or issued by any
governmental agency, body or official which would, as of the Closing Date,
prevent the issuance of


                                      - 18 -
<PAGE>



the Securities; and no injunction, restraining order or order of any nature by
any Federal or state court shall have been issued as of the Closing Date which
would prevent the issuance of the Securities.  Subsequent to the execution and
delivery of this Agreement and prior to the Closing Date, there shall not have
been any downgrading, nor shall any notice have been given of any intended or
potential downgrading or of any review for a possible change that does not
indicate the direction of the possible change, in the rating accorded any of the
Company's securities by any "nationally recognized statistical rating
organization," as such term is defined for purposes of Rule 436(g)(2) of the
Act.

                  (d)   (i) Since the earlier of the date hereof or the dates as
of which information is given in the Registration Statement and the Prospectus,
there shall not have been any Material Adverse Change or any material adverse
change, or any development which could involve a material adverse change, in the
results of operations, assets, liabilities, financial condition or prospects of
Vencor and its subsidiaries, taken as a whole (a "Material Adverse Vencor
Change"), (ii) since the date of the latest balance sheet included in the
Registration Statement and the Prospectus, there shall not have been any
material adverse change, or development involving a prospective material adverse
change, in the capital stock or debt, of the Company and the Subsidiaries, taken
as a whole, and (iii) neither the Company nor any of its Subsidiaries shall have
any liability or obligation, direct or contingent, that is material to the
Company and the Subsidiaries, taken as a whole, and which is not disclosed in
the Registration Statement and the Prospectus.


                  (e)   You shall have received a certificate of the Company,
dated the Closing Date, executed on behalf of the Company, by an executive
officer and a financial officer of the Company satisfactory to you confirming,
as of the Closing Date, the matters set forth in paragraphs (a), (b), (c), (d)
and (k) of this Section 7.

                  (f)   On the Closing Date, you shall have received:

                        (1)   an opinion (satisfactory to you and your counsel),
      dated the Closing Date, of Skadden, Arps, Slate, Meagher & Flom, counsel
      for the Company ("Skadden, Arps"), to the effect that:

                              (i)   the Company has the corporate power and
            corporate authority to enter into and perform its obligations under
            this Agreement; and this Agreement has been duly authorized,
            executed and delivered by the Company;

                              (ii)  the Registration Statement (other than the
            documents incorporated by reference therein described in clause
            (iii) below), at the time it became effective and on the Closing
            Date, complied as to form in all material respects with the
            applicable requirements of the Act and the TIA (except for


                                      - 19 -
<PAGE>



            financial statements, schedules and other financial data included
            therein and the Statement of Eligibility and Qualification of the
            Trustee on Form T-1 (the "Form T-1"), as to which no opinion need be
            expressed);

                              (iii) each document filed pursuant to the Exchange
            Act and incorporated by reference in the Prospectus, at the time it
            was filed or last amended, complied as to form in all material
            respects to the applicable requirements of the Exchange Act (except
            for financial statements, schedules and other financial  data
            included or incorporated by reference therein or omitted therefrom,
            as to which no opinion need be expressed);

                              (iv)  the Securities have been duly authorized and
            executed by the Company and, when authenticated in accordance with
            the terms of the Indenture and delivered to and paid for by the
            Underwriters in accordance with the terms of this Agreement, will be
            valid and binding obligations of the Company, enforceable against
            the Company in accordance with their terms and entitled to the
            benefits of the Indenture under which they are being issued, except
            to the extent that the enforceability thereof may be limited by (a)
            bankruptcy, insolvency, fraudulent conveyance, reorganization,
            moratorium and other similar laws in effect as of the date of the
            opinion or thereafter relating to or affecting creditors' rights
            generally and (b) general principles of equity (regardless of
            whether enforcement is sought in a proceeding at law or in equity)
            and except that such counsel need express no opinion as to the
            enforceability or effect of the waiver of rights under any usury
            laws pursuant to the Indenture;

                              (v)   the Indenture has been duly authorized,
            executed and delivered by the Company and, assuming due
            authorization, execution and delivery thereof by the Trustee, is a
            valid and binding agreement of the Company, enforceable against the
            Company in accordance with its terms, except to the extent that the
            enforceability thereof may be limited by (a) bankruptcy, insolvency,
            fraudulent conveyance, reorganization, moratorium and other similar
            laws in effect as of the date of the opinion or thereafter relating
            to or affecting creditors' rights generally and (b) general
            principles of equity (regardless of whether enforcement is sought in
            a proceeding at law or in equity) and except that such counsel need
            express no opinion as to the enforceability or effect of the waiver
            of rights under any usuary laws pursuant to the Indenture;



                                      - 20 -
<PAGE>



                              (vi)  the Escrow Agreement has been duly
            authorized, executed and delivered by the Company and, assuming due
            authorization, execution and delivery thereof by the Escrow Agent,
            is a valid and binding agreement of the Company, enforceable against
            the Company in accordance with its terms, except to the extent that
            the enforceability thereof may be limited by (a) bankruptcy,
            insolvency, fraudulent conveyance, reorganization, moratorium and
            other similar laws in effect as of the date of the opinion or
            thereafter relating to or affecting creditors' rights generally and
            (b) general principles of equity (regardless of whether enforcement
            is sought in a proceeding at law or in equity);

                              (vii) the Securities, the Indenture and the Escrow
            Agreement conform in all material respects to the descriptions
            thereof contained in the Prospectus;

                              (viii) the Company and each of its Significant
            Subsidiaries (as identified by the Company on a schedule to such
            opinion) is a corporation existing and in good standing under the
            laws of its jurisdiction or organization;

                              (ix)  neither the Company nor any of its
            Significant Subsidiaries is (a) an "investment company" or a company
            "controlled" by an investment company within the meaning of the
            Investment Company Act of 1940, as amended, or (b) a "holding
            company" or a "subsidiary company" of a holding company, or an
            "affiliate" therefor within the meaning of the Public Utility
            Holding Company Act of 1935, as amended;

                              (x)   no consent, approval, authorization or other
            order of, or filing with, any Federal or New York executive,
            legislative, judicial, administrative or regulatory body, including,
            without limitation, the Commission (each, a "Governmental
            Authority"), is legally required under any laws, rules and
            regulations of the State of New York and the United States of
            America that, in the experience of such counsel, are normally
            applicable to transactions of the type contemplated by this
            Agreement, the Indenture and the Escrow Agreement (provided that no
            opinion need be expressed as to the "blue sky" or state securities
            laws of any jurisdiction) (collectively, the "Applicable Laws") for
            the issuance or sale to the Underwriters of the Securities as
            contemplated by this Agreement except such as may be required under
            the Act, the Exchange Act and the TIA;



                                      - 21 -
<PAGE>



                              (xi)  the execution and delivery by the Company of
            this Agreement, the Indenture, the Escrow Agreement, the issuance
            and sale of the Securities to you as contemplated thereby and the
            performance of the Company's obligations pursuant to this Agreement,
            the Indenture and the Escrow Agreement including, without
            limitation, the delivery of Vencor Common Shares pursuant to the
            Securities (a) will not conflict with or result in a breach or
            violation of any of the terms or provisions of, or constitute a
            default under the charter or bylaws of the Company; (b) will not
            conflict with or result in a breach or violation of any of the terms
            or provisions of, or constitute a default (with the passage of time
            or otherwise) under, or result in the imposition of a Lien on any
            properties of the Company or any of its Subsidiaries or an
            acceleration of indebtedness pursuant to any of the agreements
            listed on a schedule attached to such counsel's opinion, where, in
            any such instance, such breach, default, Lien, acceleration of
            indebtedness or conflict could have, singly or in the aggregate, a
            material adverse effect or a prospective material adverse effect on
            the assets, liabilities, results of operations or financial
            condition of the Company and its Subsidiaries, taken as a whole;
            PROVIDED that, with respect to the Credit Agreement dated February
            28, 1995, among the Company and the lenders party thereto, as
            amended by Amendment No. 1 to the Credit Agreement dated as of
            August 31, 1995 among the Company and the lenders party thereto, no
            opinion need be expressed with respect to the performance of any of
            the obligations contained in the Indenture (i) to the extent that
            they require the Company to repay or repurchase (or to offer to
            repay or repurchase) any of the Securities upon a Change of Control
            Triggering Event (as defined in the Indenture) or in the event of
            certain Asset Sales (as defined in the Indenture) or (ii) to the
            extent they would require the Company to grant any lien; and (c)
            will not conflict with or violate any Applicable Law or any order or
            decree of New York or Federal Governmental Authorities by which the
            Company or any of its Subsidiaries is bound, the existence of which
            is actually known to such counsel or has been specifically disclosed
            to such counsel in writing by the Company;

                              (xii) the Credit Agreement conforms in all
            material respects to the descriptions thereof contained in the
            Prospectus;

                              (xiii) All of the Deposited Shares have been duly
            authorized and validly issued and are fully paid and non-assessable.


                                      - 22 -
<PAGE>



                              (xiv) The Company had, at the time of delivery
            thereof to the Escrow Agent, valid and legal title to the Deposited
            Shares free and clear of any Lien and if any Deposited Shares are
            delivered to a holder of Securities pursuant to the terms of the
            Securities, such holder will acquire valid and legal title to such
            Deposited Shares free and clear of any Lien.

                              (xv)  It is not necessary to register the
            Deposited Shares under the Act in connection with the offering and
            sale of the Securities in the manner contemplated by this Agreement
            and the Prospectus.

                              (xvi)  the Staff of the Commission has orally
            advised such counsel that the Registration Statement was declared
            effective under the Act and the Indenture was qualified under the
            TIA, in each case, at 4:15 p.m., Washington, D.C. time, on October
            10, 1995, and, to the best of such counsel's knowledge, no stop
            order suspending the effectiveness of the Registration Statement or
            the qualification of Indenture has been issued and no proceedings
            for that purpose are pending; and the Prospectus has been sent for
            filing with the Commission pursuant to Rule 424(b) within the time
            period required by such Rule.

                        (2)   In giving their opinion required by subsection
      (f)(1) of this Section 7, such counsel may state that such opinions are
      limited to matters governed by the Federal laws of the United States of
      America and the laws of the State of New York.

                        In addition, such counsel shall state that such counsel
      has participated in conferences with officers and other representatives of
      the Company, representatives of the independent public accountants for the
      Company, your representatives and your counsel at which the contents of
      the  Registration Statement and the Prospectus and related matters were
      discussed and, although such counsel is not passing upon, and does not
      assume any responsibility for, the accuracy, completeness or fairness of
      the statements contained in the Registration Statement or the Prospectus,
      on the basis of the foregoing, no fact has come to the attention of such
      counsel that leads it to believe that the Registration Statement, at the
      time it became effective, contained an untrue statement of a material fact
      or omitted to state a material fact required to be stated therein or
      necessary to make the statements therein not misleading, or that the
      Prospectus, as of its date and as of the Closing Date, contained an untrue
      statement of a material fact or omitted to state a material fact required
      to be stated therein or necessary to make the statements therein, in light
      of the circumstances under which they were made, not misleading, except
      that such counsel need not express any opinion or belief with respect to
      the financial statements, schedules and other


                                      - 23 -
<PAGE>



      financial data included or incorporated by reference in or excluded from
      the Registration Statement or the Prospectus, the exhibits to the
      Registration Statement or the Form T-1.

                        In rendering the foregoing opinions, Skadden, Arps may
      rely as to matters of Nevada law on the opinion of Woodburn & Wedge,
      Nevada counsel to the Company, or such other counsel as is reasonably
      satisfactory to the Underwriters' Counsel.

                        (3)   a reliance letter (satisfactory to you and your
      counsel), dated the Closing Date, of Skadden, Arps permitting you to rely
      upon the Non-affiliate Opinion as if it were addressed to you.

                        (4)   an opinion (satisfactory to you and Underwriters'
      Counsel), dated the Closing Date, of Scott M. Brown, Esq., Senior Vice
      President and General Counsel of the Company, to the effect that:

                              (i)   the descriptions in the Registration
            Statement and the Prospectus of statutes, legal and governmental
            proceedings, contracts and other documents and regulatory matters,
            including, without limitation, those described in the Prospectus
            under the captions "Risk Factors--Limits on Reimbursement,"
            "--Extensive Regulation," "--Healthcare Reform Legislation" and in
            the Company's Annual Report on Form 10-K for the fiscal year 
            ended May 31, 1995 under the captions "Medicare, Medicaid and 
            Other Revenues" and "Health Care Reform, Regulation and 
            Licensing" and in the Company's Quarterly Report on Form 10-Q 
            for the quarter ended August 31, 1995 under the caption "Legal 
            Proceedings" insofar as such statements constitute summaries of 
            legal matters, documents or proceedings referred to therein are 
            accurate in all material respects and such counsel does not know 
            of any contracts or documents of a character required to be 
            described in the Registration Statement or Prospectus (or 
            required to be filed under the Exchange Act if upon such filing 
            they would be incorporated by reference therein) or to be filed 
            as exhibits to the Registration Statement which are not 
            described and filed as required; it being understood that such 
            counsel need express no opinion as to the financial statements, 
            notes or schedules or other financial data included or 
            incorporated by reference therein or those parts of the 
            Registration Statement that constitute the Form T-1);

                              (ii)  each of the Company and its Significant
            Subsidiaries has such Authorizations from all regulatory or
            governmental officials, bodies and tribunals as are necessary to


                                      - 24 -
<PAGE>



            own, lease and operate its respective properties and to conduct its
            business in the manner described in the Prospectus;

                              (iii) to the best of such counsel's knowledge,
            there is no current, pending or threatened action, suit or
            proceeding before any court or governmental agency, authority or
            body or any arbitrator involving the Company or any of its
            Subsidiaries or to which any of their respective property is subject
            of a character required to be disclosed in the Registration
            Statement which is not adequately disclosed in the Prospectus;

                              (iv)  all of the issued and outstanding shares of
            capital stock of, or other ownership interests in, each Significant
            Subsidiary of the Company have been duly and validly authorized and
            issued, and the shares of capital stock of, or other ownership
            interests in, each such subsidiary, other than AME, are owned of
            record, directly or through subsidiaries, by the Company, are fully
            paid and nonassessable, and to the best knowledge of such counsel
            are owned free and clear of any material, consensual Lien, other
            than Liens arising under the Credit Agreement, except that
            shareholders of AME have certain preemptive rights with respect to
            rights offerings by AME; and

                              (v)   the Company and each of its significant
            subsidiaries (as defined under the Commission's Regulation S-X and
            identified on a schedule to such opinion) is a duly organized
            corporation, has the requisite corporate power and authority to own,
            lease and operate its properties and to conduct its business as
            described in the Registration Statement and the Prospectus, and, to
            the extent each is a party thereto, to execute, deliver and perform
            its obligations pursuant to the Indenture, the Escrow Agreement and
            this Agreement, and is duly qualified as a foreign corporation and
            in good standing in each jurisdiction where the ownership, leasing
            or operation of property or the conduct of its business requires
            such qualification, except where the failure so to be qualified
            could not have, singly or in the aggregate, a Material Adverse
            Effect.

                        (5)   In giving their opinion required by subsection
      f(4) of this Section 7, such counsel shall state that no fact has come to
      the attention of such counsel that leads it to believe that the
      descriptions of statutes, legal and governmental proceedings, contracts
      and other documents and regulatory matters described in the Registration
      Statement and the Prospectus under the captions set forth in subsection
      (f)(4)(i) of this Section 7 contained an untrue statement of a material
      fact or omitted to state a material fact required to be stated therein or


                                      - 25 -
<PAGE>



      necessary to make the statements therein, in light of the circumstances
      under which they were made, not misleading.

                        (6)   an opinion (satisfactory to you and Underwriters'
      Counsel), dated the Closing Date, of Woodburn & Wedge, special Nevada
      counsel to the Company, to the effect that:

                              (i) the Company has the corporate power and
            authority to execute, deliver and perform this Agreement and the 
            Company has the corporate power and authority to authorize, 
            issue and sell the Securities as contemplated by this Agreement;

                              (ii)  this Agreement has been duly authorized,
            executed and delivered by the Company, and the Securities, the 
            Indenture and the Escrow Agreement have been duly authorized, 
            executed and delivered by the Company;

                              (iii) the Company is a duly organized and validly
            existing corporation in good standing under the laws of the 
            State of Nevada and has the requisite corporate power and 
            authority to own, lease and operate its properties and to 
            conduct its business as described in the Registration Statement 
            and the Prospectus, and to execute and deliver, and perform its 
            obligations pursuant to, the Indenture, the Escrow Agreement, 
            the Securities and this Agreement;

                              (iv) no consent, approval, authorization, or order
            of any Nevada governmental agency or body is required, for the 
            consummation by the Company of the transactions contemplated by 
            this Agreement in connection with the issuance and sale of the 
            Securities;

                              (v) the execution and delivery by the Company of
            this Agreement, the Indenture, the Escrow Agreement and the 
            issuance and sale of the Securities to you as contemplated by 
            this Agreement and the performance of its obligations pursuant 
            to this Agreement, the Securities, the Indenture and the Escrow 
            Agreement including, without limitation, the delivery of Vencor 
            Common Shares pursuant to the Securities will not conflict with 
            or result in a breach or violation of any of the terms or 
            provision of, or constitute a default under, (a) any of the 
            charter or bylaws of the Company, or (b) any existing applicable 
            statute, rule or regulation or any order of any Nevada court or 
            governmental agency or body having jurisdiction over the Company 
            or any of its properties; provided that the opinion expressed in 
            clause (b) is limited to those statutes, rules or regulations 
            which, in the experience of such counsel, are normally 
            applicable to transactions of the type contemplated

                                      - 26 -
<PAGE>



            by this Agreement in connection with the issuance and sale of 
            the Securities; and

                              (vi)  in any action or proceeding arising out of
            or relating to this Agreement, the Indenture or the Escrow 
            Agreement in any court of the State of Nevada or in any federal 
            court sitting in the State of Nevada, such court would recognize 
            and give effect to the provisions of Section 10 of this 
            Agreement, Section [9.10] of the Indenture and Section __ of the 
            Escrow Agreement wherein the parties thereto agreed, to the 
            extent therein stated, that each such document shall be governed 
            by and construed in accordance with the internal laws of the 
            State of New York.

                  (g)   You shall have received an opinion, dated the Closing
Date, of Davis Polk & Wardwell counsel for the Underwriters, in form and
substance reasonably satisfactory to you.

                  (h)   You shall have received complete sets of all closing
documents, including without limitation all opinions, required to be delivered
under any of the other Transaction Documents.

                  (i)   You shall have received letters on and as of the date
hereof as well as on and as of the Closing Date, in the latter case constituting
an affirmation of the statements set forth in the earlier letters, in form and
substance satisfactory to you, from KPMG Peat Marwick LLP and Price Waterhouse
LLP, independent public accountants to the Company and AMH, respectively, with
respect to the financial statements and certain financial information contained
or incorporated by reference in the Registration Statement and the Prospectus as
you shall reasonably require.

                  (j)   All corporate proceedings and other legal matters
incident to the authorization, form and validity of this Agreement, the
Securities, the Registration Statement and the Prospectus, and all other legal
matters relating to this Agreement and the transactions contemplated hereby
shall be reasonably satisfactory to Davis Polk & Wardwell and such counsel shall
have been furnished with such documents and opinions, in addition to those set
forth above, as they may reasonably require for the purpose of enabling them to
review or pass upon the matters referred to in this Section 7, in order to
evidence the accuracy, completeness and satisfaction in all material respects of
any of the representations, warranties or conditions herein contained and to
render the opinion referred to in Section 7(g) hereof.

                  (k)   There shall have been no amendments, alterations,
modifications, or waivers of any provisions of the Transaction Documents since
the date of the execution and delivery thereof by the parties thereto other than
those which are disclosed in the Registration Statement or the Prospectus or any
supplement thereto or which under the Act are not required to be disclosed in
the Prospectus or any supplement thereto and which have been disclosed to the
Underwriters prior to the date hereof.


                                      - 27 -
<PAGE>



            8.    EFFECTIVE DATE OF AGREEMENT, DEFAULT AND TERMINATION.  This
Agreement shall become effective upon the later of (i) the execution and
delivery of this Agreement by the parties hereto, (ii) the effectiveness of the
Registration Statement, and (iii) if a post-effective amendment is required to
be filed pursuant to Rule 430A under the Act, the effectiveness of such
post-effective amendment.

                  This Agreement may be terminated at any time on or prior to
the Closing Date by you by notice to the Company if any of the following has
occurred:  (i) subsequent to the date the Registration Statement is declared
effective or the date of this Agreement, any Material Adverse Change, or any
Material Adverse Vencor Change which, in your judgment, impairs the investment
quality of the Securities, (ii) any outbreak or escalation of hostilities or
other national or international calamity or crisis or material adverse change in
the financial markets of the United States or elsewhere, or any other
substantial national or international calamity or emergency if the effect of
such outbreak, escalation, calamity, crisis or emergency would, in your judgment
make it impracticable or inadvisable to market the Securities or to enforce
contracts for the sale of the Securities, (iii) any suspension or limitation of
trading generally in securities, or in any securities of the Company or Vencor,
on the New York, American or Pacific Stock Exchanges, the National Association
of Securities Dealers Automated Quotation National Market, or the
over-the-counter markets or any setting of minimum prices for trading on such
exchanges or markets, (iv) any declaration of a general banking moratorium by
either Federal or New York authorities, (v) the taking of any action by any
Federal, state or local government or agency in respect of its monetary or
fiscal affairs that in your judgment has a material adverse effect on the
financial markets in the United States, and would, in your judgment, make it
impracticable or inadvisable to market the Securities or to enforce contracts
for the sale of the Securities, (vi) any securities of the Company or any of its
Subsidiaries shall have been downgraded or placed on any "watch list" for
possible downgrading or reviewed for a possible change that does not indicate
the direction of the possible change by any "nationally recognized statistical
rating organization," as such term is defined for purposes of Rule 436(g)(2) of
the Act, or (vii) the enactment, publication, decree or other promulgation of
any Federal or state statute, regulation, or rule or order of any court or other
governmental authority which in your judgment could have a Material Adverse
Effect.

                  If this Agreement shall be terminated by you pursuant to
clause (i), (vi) or, in the case of a statute, regulation, rule or order
specifically addressing the Company, and not affecting its industry generally,
(vii) of the second paragraph of this Section 8 or because of the failure or
refusal on the part of the Company to comply with the terms or to fulfill any of
the conditions of this Agreement, the Company agrees to reimburse you for all
reasonable out-of-pocket expenses (including the reasonable fees and
disbursements of counsel) incurred by you.  Notwithstanding any termination of
this Agreement, the Company shall be liable for all expenses which it has agreed
to pay pursuant to Section 4(f) hereof.  If this Agreement is terminated
pursuant to this Section


                                      - 28 -
<PAGE>



8, such termination shall be without liability of any Underwriter to the Company
or any of its Subsidiaries.

                  If on the Closing Date either Underwriter shall fail or refuse
to purchase the Securities which it has agreed to purchase hereunder on such
date and arrangements satisfactory to the non-defaulting Underwriter and the
Company for the purchase of such Securities are not made within 48 hours after
such default, this Agreement shall terminate without liability on the part of
the non-defaulting Underwriter and the Company, except as otherwise provided in
this Section 8.  In any such case that does not result in termination of this
Agreement, either the non-defaulting Underwriter or the Company may postpone the
Closing Date for not longer than seven (7) days, in order that the required
changes, if any, in the Registration Statement and the Prospectus or any other
documents or arrangements may be effected.  Any action taken under this
paragraph shall not relieve a defaulting Underwriter from liability in respect
of any default of any such Underwriter under this Agreement.

                  9.    NOTICES.  Notices given pursuant to any provision of
this Agreement shall be addressed as follows:  (a) if to the Company, to it at
2700 Colorado Avenue, Santa Monica, California 90404, Attention: Treasurer, with
copies to Attention: General Counsel and to Skadden, Arps, Slate, Meagher &
Flom, 300 South Grand Avenue, Suite 3400, Los Angeles, California 90071,
Attention: Brian J. McCarthy and (b) if to any Underwriter, to Donaldson, Lufkin
& Jenrette Securities Corporation, 140 Broadway, New York, New York 10005,
Attention: Syndicate Department, and, in each case, with a copy to Davis Polk &
Wardwell, 450 Lexington Avenue, New York, New York 10017, Attention : Richard D.
Truesdell, Jr., or in any case to such other address as the person to be
notified may have requested in writing.

                  10.   GOVERNING LAW.  THIS AGREEMENT SHALL BE GOVERNED BY
AND CONSTRUED IN ACCORDANCE WITH THE INTERNAL LAWS OF THE STATE OF NEW YORK AS
APPLIED TO CONTRACTS MADE AND PERFORMED ENTIRELY WITHIN THE STATE OF NEW YORK,
WITHOUT REGARD TO PRINCIPALS OF CONFLICTS OF LAW.  THE COMPANY HEREBY
IRREVOCABLY SUBMITS TO THE EXCLUSIVE JURISDICTION OF THE FEDERAL AND NEW YORK
STATE COURTS LOCATED IN THE CITY OF NEW YORK IN CONNECTION WITH ANY SUIT, ACTION
OR PROCEEDING RELATED TO THIS AGREEMENT OR ANY OF THE MATTERS CONTEMPLATED
HEREBY, IRREVOCABLY WAIVES ANY DEFENSE OF LACK OF PERSONAL JURISDICTION AND
IRREVOCABLY AGREES THAT ALL CLAIMS IN RESPECT OF ANY SUCH SUIT, ACTION OR
PROCEEDING MAY BE HEARD AND DETERMINED IN ANY SUCH COURT.  THE COMPANY
IRREVOCABLY WAIVES, TO THE FULLEST EXTENT IT MAY EFFECTIVELY DO SO UNDER
APPLICABLE LAW, ANY OBJECTION WHICH IT MAY NOW OR HEREAFTER HAVE TO THE LAYING
OF VENUE OF ANY SUCH SUIT, ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT AND
ANY CLAIM THAT ANY


                                      - 29 -
<PAGE>



SUCH SUIT, ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN AN
INCONVENIENT FORUM.

                  11.   SEVERABILITY.  Any determination that any provision of
this Agreement may be, or is, unenforceable shall not affect the enforceability
of the remainder of this Agreement.

                  12.   SUCCESSORS.  Except as otherwise provided, this
Agreement has been and is made solely for the benefit of and shall be binding
upon the Company, the Underwriters, any Indemnified Person referred to herein
and their respective successors and assigns, all as and to the extent provided
in this Agreement, and no other person shall acquire or have any right under or
by virtue of this Agreement.  The terms "successors and assigns" shall not
include a purchaser of any of the Securities from any of the Underwriters merely
because of such purchase.

                  13.   CERTAIN DEFINITIONS.  For purposes of this Agreement,
(a) "business day", means any day on which the NYSE is open for trading and (b)
"subsidiary" has the meaning set forth in Rule 405 of the Act.

                  14.   COUNTERPARTS.  This Agreement may be executed in one
or more counterparts and, if executed in one or more counterparts, the executed
counterparts shall each be deemed to be an original, not all such counterparts
shall together constitute one and the same instrument.

                  15.   HEADINGS.  The headings herein are inserted for
convenience of reference only and are not intended to be part of, or to affect
the meaning or interpretation of, this Agreement.

                  16.   SURVIVAL.  The indemnities and contribution provisions
and  the other agreements, representations and warranties of the Company, its
officers and directors and of the Underwriters set forth in or made pursuant to
this Agreement shall remain operative and in full force and effect, and will
survive delivery of and payment for the Securities, regardless of (i) any
investigation, or statement as to the results thereof, made by or on behalf of
any of the Underwriters or by or on behalf of the Company, the officers or
directors of the Company or any controlling person of the Company, (ii)
acceptance of the Securities and payment for them hereunder and (iii)
termination of this Agreement.


                                      - 30 -
<PAGE>



            This Agreement may be signed in various counterparts which together
shall constitute one and the same instrument.  Please confirm that the foregoing
correctly sets forth the agreement among the Company and you.

                              Very truly yours,

                              TENET HEALTHCARE CORPORATION



                              By:
                                   ------------------------------
                                    Name:  Terence P. McMullen
                                     Title: Senior Vice President



                                      - 31 -
<PAGE>



The foregoing Underwriting Agreement
is hereby confirmed and accepted as
of the date first above written.

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION
MERRILL LYNCH, PIERCE, FENNER &
  SMITH INCORPORATED


Acting on behalf of themselves

DONALDSON, LUFKIN & JENRETTE
  SECURITIES CORPORATION



By:
     ------------------------------
      Name:  David L. Dennis
       Title: Managing Director


MERRILL LYNCH, PIERCE, FENNER &
  SMITH INCORPORATED



By:
     ----------------------------------
      Name:  Mathew M. Pendo
       Title:  Director



                                      - 32 -
<PAGE>



SCHEDULE I

<TABLE>
<CAPTION>
                                                             PRINCIPAL       PERCENTAGE
UNDERWRITER                                                    AMOUNT         OF TOTAL
<S>                                                          <C>             <C>
Donaldson, Lufkin & Jenrette Securities Corporation            $                    %
Merrill Lynch, Pierce, Fenner & Smith Incorporated                                  %


                              Total ..............             $                 100%

</TABLE>

                                       I-1

<PAGE>



                                                                         DRAFT
______________________________________________________________________________
______________________________________________________________________________


                         TENET HEALTHCARE CORPORATION


                           ________________________

                                  $_________

                ____% EXCHANGEABLE SUBORDINATED NOTES due 2007
                       _______________________________



                            ______________________

                                   INDENTURE

                         Dated as of __________, 1995
                            ______________________



                         ____________________________

                             THE BANK OF NEW YORK
                         ____________________________


                                  as Trustee

______________________________________________________________________________
______________________________________________________________________________


<PAGE>



                               TABLE OF CONTENTS

                                                                          Page

                                   ARTICLE 1
                         DEFINITIONS AND INCORPORATION
                                 BY REFERENCE

      Section 1.01.  Definitions............................................  1
      Section 1.02.  Other Definitions......................................  7
      Section 1.03.  Incorporation by Reference of TIA......................  8
      Section 1.04.  Rules of Construction..................................  8

                                   ARTICLE 2
                 THE SECURITIES; OFFER TO PURCHASE PROCEDURES

      Section 2.01.  Form and Dating........................................  9
      Section 2.02.  Execution and Authentication...........................  9
      Section 2.03.  Registrar and Paying Agent............................. 10
      Section 2.04.  Paying Agent to Hold Money in Trust.................... 10
      Section 2.05.  Holder Lists........................................... 11
      Section 2.06.  Transfer and Exchange.................................. 11
      Section 2.07.  Replacement Securities................................. 12
      Section 2.08.  Outstanding Securities................................. 12
      Section 2.09.  Treasury Securities.................................... 13
      Section 2.10.  Temporary Securities................................... 13
      Section 2.11.  Cancellation........................................... 13
      Section 2.12.  Defaulted Interest..................................... 13
      Section 2.13.  Record Date............................................ 14
      Section 2.14.  CUSIP Number........................................... 14

                                   ARTICLE 3
                                   COVENANTS

      Section 3.01.  Payment of Securities.................................. 14
      Section 3.02.  Maintenance of Office or Agency........................ 15
      Section 3.03.  Commission Reports..................................... 16
      Section 3.04.  Compliance Certificate................................. 17
      Section 3.05.  Taxes.................................................. 18
      Section 3.06.  Stay, Extension and Usury Laws......................... 18
      Section 3.07.  Change of Control...................................... 18
      Section 3.08.  Corporate Existence.................................... 21

                                   ARTICLE 4
                                  SUCCESSORS

      Section 4.01.  Limitations On Mergers, Consolidations or 
                     Sales of Assets........................................ 21


<PAGE>

                                                                           Page

      Section 4.02.  Successor Corporation Substituted...................... 22

                                   ARTICLE 5
                             DEFAULTS AND REMEDIES

      Section 5.01.  Events of Default...................................... 23
      Section 5.02.  Acceleration........................................... 25
      Section 5.03.  Other Remedies......................................... 26
      Section 5.04.  Waiver of Past Defaults................................ 27
      Section 5.05.  Control by Majority.................................... 27
      Section 5.06.  Limitation on Suits.................................... 27
      Section 5.07.  Rights of Holders to Receive Payment................... 28
      Section 5.08.  Collection Suit by Trustee............................. 28
      Section 5.09.  Trustee May File Proofs of Claim....................... 28
      Section 5.10.  Priorities............................................. 29
      Section 5.11.  Undertaking for Costs.................................. 29

                                   ARTICLE 6
                                    TRUSTEE

      Section 6.01.  Duties of Trustee...................................... 30
      Section 6.02.  Rights of Trustee...................................... 31
      Section 6.03.  Individual Rights of Trustee........................... 32
      Section 6.04.  Trustee's Disclaimer................................... 32
      Section 6.05.  Notice of Defaults..................................... 33
      Section 6.06.  Reports by Trustee to Holders.......................... 33
      Section 6.07.  Compensation and Indemnity............................. 33
      Section 6.08.  Replacement of Trustee................................. 34
      Section 6.09.  Successor Trustee or Agent by Merger, etc.............. 35
      Section 6.10.  Eligibility; Disqualification.......................... 35
      Section 6.11.  Preferential Collection of Claims Against Company...... 36

                                   ARTICLE 7
                            DISCHARGE OF INDENTURE

      Section 7.01.  Defeasance and Discharge of this Indenture and the
                     Securities............................................. 36
      Section 7.02.  Legal Defeasance and Discharge......................... 36
      Section 7.03.  Covenant Defeasance.................................... 37
      Section 7.04.  Conditions to Legal or Covenant Defeasance............. 37
      Section 7.05.  Deposited Money and Government Securities to be Held in
                     Trust; Other Miscellaneous Provisions.................. 39
      Section 7.06.  Repayment to Company................................... 40
      Section 7.07.  Reinstatement.......................................... 41

                                  ARTICLE 8
                       AMENDMENT, SUPPLEMENT AND WAIVER

                                      ii

<PAGE>

                                                                           Page

      Section 8.01.  Without Consent of Holders............................. 41
      Section 8.02.  With Consent of Holders................................ 42
      Section 8.03.  Compliance with TIA.................................... 43
      Section 8.04.  Revocation and Effect of Consents...................... 43
      Section 8.05.  Notation on or Exchange of Securities.................. 44
      Section 8.06.  Trustee to Sign Amendments, etc........................ 44

                                   ARTICLE 9
                                 MISCELLANEOUS

      Section 9.01.  TIA Controls........................................... 45
      Section 9.02.  Notices................................................ 45
      Section 9.03.  Communication by Holders with Other Holders............ 46
      Section 9.04.  Certificate and Opinion as to Conditions Precedent..... 46
      Section 9.05.  Statements Required in Certificate or Opinion.......... 47
      Section 9.06.  Rules by Trustee and Agents............................ 47
      Section 9.07.  Legal Holidays......................................... 47
      Section 9.08.  No Personal Liability of Directors, Officers, 
                     Employees and Shareholders............................. 48
      Section 9.09.  Duplicate Originals.................................... 48
      Section 9.10.  Governing Law.......................................... 48
      Section 9.11.  No Adverse Interpretation of Other Agreements.......... 48
      Section 9.12.  Successors............................................. 48
      Section 9.13.  Severability........................................... 48
      Section 9.14.  Counterpart Originals.................................. 49
      Section 9.15.  Table of Contents, Headings, etc....................... 49

                                  ARTICLE 10
                           REDEMPTION OF SECURITIES

      Section 10.01. Notices to Trustee..................................... 49
      Section 10.02. Selection of Securities to Be Redeemed................. 49
      Section 10.03. Notice of Redemption................................... 50
      Section 10.04. Effect of Notice of Redemption......................... 51
      Section 10.05. Deposit of Redemption Price............................ 51
      Section 10.06. Securities Redeemed in Part............................ 52
      Section 10.07. Optional  Redemption................................... 52
      Section 10.08. Mandatory Redemption................................... 52

                                  ARTICLE 11
                            EXCHANGE OF SECURITIES

      Section 11.01. Right of Exchange...................................... 53
      Section 11.02. Method of Exchange..................................... 53
      Section 11.03. Fractional Interests................................... 55

                                     iii

<PAGE>



      Section 11.04. Adjustment of Exchange Rate............................ 56
      Section 11.05. Escrow Agreement....................................... 57
      Section 11.06. Notice of Certain Events............................... 62
      Section 11.07. Transfer Taxes......................................... 63
      Section 11.08. Shares Free and Clear.................................. 64
      Section 11.09. Cancellation of Securities............................. 64
      Section 11.10. Consolidation, etc., of Vencor......................... 64
      Section 11.11. Certain Tender or Exchange Offers for Vencor 
                     Common Stock........................................... 65
      Section 11.12. Obligations of Trustee and Escrow Agent................ 66
      Section 11.13. Tax Adjustments........................................ 66
      Section 11.14. Cash Equivalent........................................ 69
      Section 11.15. Computation of Taxes Payable........................... 69
      Section 11.16. Tax Assumptions for Permitted Transferees.............. 70
      Section 11.17. Registration of Vencor Common Shares................... 70

                                  ARTICLE 12
                                 SUBORDINATION

      Section 12.01. Agreement to Subordinate............................... 70
      Section 12.02. Certain Definitions.................................... 71
      Section 12.03. Liquidation; Dissolution; Bankruptcy................... 71
      Section 12.04. Default on Designated Senior and Senior 
                     Subordinated Debt...................................... 72
      Section 12.05. Acceleration of Securities............................. 73
      Section 12.06. When Distribution Must Be Paid Over.................... 73
      Section 12.07. Notice by Company...................................... 73
      Section 12.08. Subrogation............................................ 74
      Section 12.09. Relative Rights........................................ 74
      Section 12.10. Subordination May Not Be Impaired by Company........... 74
      Section 12.11. Distribution or Notice to Representative............... 75
      Section 12.12. Rights of Trustee and Paying Agent..................... 75
      Section 12.13. Authorization to Effect Subordination.................. 75
      Section 12.14. Amendments............................................. 76

                                   EXHIBITS

      Exhibit A     FORM OF SECURITY

                                      iv

<PAGE>

                     CROSS-REFERENCE TABLE*
TRUST INDENTURE
  ACT SECTION                                   INDENTURE SECTION
- ---------------                                 -----------------
310 (a)(1)............................................       6.10
   (a)(2).............................................       6.10
   (a)(3).............................................       N.A.
   (a)(4).............................................       N.A.
   (a)(5).............................................       6.10
   (b) ............................................... 6.08; 6.10
   (c) ...............................................       N.A.
311 (a) ..............................................       6.11
   (b) ...............................................       6.11
   (c) ...............................................       N.A.
312 (a)...............................................       2.05
   (b)................................................       9.03
   (c) ...............................................       9.03
313 (a) ..............................................       6.06
   (b)(1) ............................................       N.A.
   (b)(2) ............................................       6.06
   (c) ...............................................  6.06; 9.02
   (d)................................................       6.06
314 (a) .............................................. 3.03; 9.02
   (b) ...............................................       N.A.
   (c)(1).............................................       9.04
   (c)(2).............................................       9.04
   (c)(3).............................................       N.A.
   (d)................................................       N.A.
   (e)  ..............................................       9.05
   (f)................................................       N.A.
315 (a)...............................................6.01(iii)(b)
   (b)................................................ 6.05; 9.02
   (c)  ..............................................    6.01(i)
   (d)................................................  6.01(iii)
   (e)................................................       5.11
316 (a)(last sentence) ...............................       2.09
   (a)(1)(a)..........................................       5.05
   (a)(1)(b) .........................................       5.04
   (a)(2).............................................       N.A.
   (b) ...............................................       5.07
   (c) ...............................................  2.13; 8.04
317 (a)(1) ...........................................       5.08
   (a)(2).............................................       5.09
   (b) ...............................................       2.04
318 (a)...............................................       9.01
   (b)................................................       N.A.
   (c)................................................       9.01

N.A. means not applicable.
____________________________
*THIS CROSS-REFERENCE TABLE IS NOT PART OF THE INDENTURE. 


<PAGE>



INDENTURE dated as of __________, 1995 between Tenet Healthcare Corporation, a
Nevada corporation (the "COMPANY"), and The Bank of New York, as trustee
(the "TRUSTEE").

         The Company and the Trustee agree as follows for the benefit of each
other and for the equal and ratable benefit of the Holders of the ____%
Exchangeable Subordinated Notes due 2007 (the "SECURITIES"):


                             ARTICLE 1
                   DEFINITIONS AND INCORPORATION
                           BY REFERENCE

SECTION 1.01.    DEFINITIONS.


         "AFFILIATE" of any specified Person means any other Person directly
or indirectly controlling or controlled by or under direct or indirect common
control with such specified Person.  For purposes of this definition, "control"
(including, with correlative meanings, the terms "controlling," "controlled by"
and "under common control with"), as used with respect to any Person, shall mean
the possession, directly or indirectly, of the power to direct or cause the
direction of the management or policies of such Person, whether through the
ownership of voting securities, by agreement or otherwise; PROVIDED that
beneficial ownership of 10% or more of the voting securities of a Person shall
be deemed to be control.

         "AGENT" means any Registrar, Paying Agent or co-registrar.

         "BOARD OF DIRECTORS" means the Board of Directors of the Company or
any authorized committee thereof.

         "BUSINESS DAY" means any day other than a Legal Holiday.

         "CAPITAL LEASE" means, at the time any determination thereof is to be
made, any lease of property, real or personal, in respect of which the present
value of the minimum rental commitment would be capitalized on a balance sheet
of the lessee in accordance with GAAP.

         "CAPITAL LEASE OBLIGATION" means, at the time any determination
thereof is to be made, the amount of the liability in respect of a Capital Lease
that would at such time be required to be capitalized on a balance sheet in
accordance with GAAP.



                                        1 
<PAGE>



         "CAPITAL STOCK" means (i) in the case of a corporation, corporate
stock, (ii) in the case of an association or business entity, any and all
shares, interests, participations, rights or other equivalents (however
designated) of corporate stock, (iii) in the case of a partnership, partnership
interests (whether general or limited) and (iv) any other interest or
participation that confers on a Person the right to receive a share of the
profits and losses of, or distributions of assets of, the issuing Person.

         "CHANGE OF CONTROL" means the occurrence of any of the following:
(i) the sale, lease, transfer, conveyance or other disposition, in one or a
series of related transactions, of all or substantially all of the assets of the
Company and its Subsidiaries taken as a whole to any Person or group (as such
term is used in Sections 13(d)(3) and 14(d)(2) of the Exchange Act), other than
to a Person or group who, prior to such transaction, held a majority of the
voting power of the voting stock of the Company, (ii) the acquisition by any
Person or group, as defined above, of a direct or indirect interest in more than
50% of the voting power of the voting stock of the Company, by way of merger,
consolidation or otherwise, or (iii) the first day on which a majority of the
members of the Board of Directors of the Company are not Continuing Directors.

         "CHANGE OF CONTROL TRIGGERING EVENT" means the occurrence of both a
Change of Control and a Rating Decline.

         "COMMISSION" means the Securities and Exchange Commission.

         "COMPANY" means Tenet Healthcare Corporation, as obligor under the
Securities, unless and until a successor replaces Tenet Healthcare Corporation,
in accordance with Article 4 hereof and thereafter includes such successor.

         "CONSOLIDATED NET WORTH" means, with respect to any Person as of any
date, the sum of (i) the consolidated equity of the common stockholders of such
Person and its consolidated Subsidiaries as of such date PLUS (ii) the
respective amounts reported on such Person's balance sheet as of such date with
respect to any series of preferred stock (other than Disqualified Stock), LESS
all write-ups (other than write-ups resulting from foreign currency translations
and write-ups of tangible assets of a going concern business made in accordance
with GAAP as a result of the acquisition of such business) subsequent to the
date hereof in the book value of any asset owned by such Person or a
consolidated Subsidiary of such Person, and excluding the cumulative effect of a
change in accounting principles, all as determined in accordance with GAAP.

         "CONTINUING DIRECTORS" means, as of any date of determination, any
member of the Board of Directors of the Company who (i) was a member of such
Board of Directors on the date hereof or (ii) was nominated for election or
elected to such Board of Directors with the approval of a majority of the
Continuing


                                        2 
<PAGE>



Directors who were members of such Board at the time of such nomination or
election.

         "CORPORATE TRUST OFFICE OF THE TRUSTEE" shall be at the address of
the Trustee specified in Section 9.02 hereof or such other address as to which
the Trustee may give notice to the Company.

         "CREDIT FACILITY" means that certain Credit Agreement, dated as of
February 28, 1995, by and among the Company and Morgan Guaranty Trust Company of
New York and the other banks that are party thereto, providing for $1.8 billion
in aggregate principal amount of senior term debt and up to $500.0 million in
aggregate principal amount of senior revolving debt, including any related
notes, collateral documents, instruments and agreements executed in connection
therewith, and in each case as amended as of August 31, 1995, and as amended,
modified, extended, renewed, refunded, replaced or refinanced, in whole or in
part, from time to time.

         "DEFAULT" means any event that is or with the passage of time or the
giving of notice or both would be an Event of Default.

         "EXCHANGE ACT" means the Securities Exchange Act of 1934, as amended.

         "GAAP" means generally accepted accounting principles set forth in
the opinions and pronouncements of the Accounting Principles Board of the
American Institute of Certified Public Accountants and statements and
pronouncements of the Financial Accounting Standards Board or in such other
statements by such other entity as have been approved by a significant segment
of the accounting profession, as in effect from time to time.

         "GOVERNMENT SECURITIES" means direct obligations of, or obligations
guaranteed by, the United States of America for the payment of which guarantee
or obligations the full faith and credit of the United States is pledged.

         "GUARANTEE" means a guarantee (other than by endorsement of
negotiable instruments for collection in the ordinary course of business),
direct or indirect, in any manner (including, without limitation, letters of
credit and reimbursement agreements in respect thereof), of all or any part of
any Indebtedness.

         "HEDGING OBLIGATIONS" means, with respect to any Person, the
obligations of such Person under (i) interest rate swap agreements, interest
rate cap agreements and interest rate collar agreements, (ii) foreign exchange
contracts or currency swap agreements and (iii) other agreements or arrangements
designed to protect such Person against fluctuations in interest rates or
currency values.


                                        3 
<PAGE>



         "HOLDER" means a Person in whose name a Security is registered.

         "INDEBTEDNESS" means with respect to any Person, any indebtedness of
such Person, whether or not contingent, in respect of borrowed money or
evidenced by bonds, notes, debentures or similar instruments or letters of
credit (or reimbursement agreements in respect thereof) or banker's acceptances
or representing Capital Lease Obligations or the balance deferred and unpaid of
the purchase price of any property or representing any Hedging Obligations,
except any such balance that constitutes an accrued expense or trade payable, if
and to the extent any of the foregoing indebtedness (other than letters of
credit and Hedging Obligations) would appear as a liability upon a balance sheet
of such Person prepared in accordance with GAAP, as well as all indebtedness of
others secured by a Lien on any asset of such Person (whether or not such
indebtedness is assumed by such Person) and, to the extent not otherwise
included, the Guarantee by such Person of any indebtedness of any other Person.

         "INDENTURE" means this Indenture, as amended or supplemented from
time to time.

         "LIEN" means, with respect to any asset, any mortgage, lien, pledge,
charge, security interest or encumbrance of any kind in respect of such asset
given to secure Indebtedness, whether or not filed, recorded or otherwise
perfected under applicable law (including any conditional sale or other title
retention agreement, any lease in the nature thereof, any option or other
agreement to sell or give a security interest in and any filing of or agreement
to give any financing statement under the Uniform Commercial Code (or equivalent
statutes) of any jurisdiction with respect to any such lien, pledge, charge or
security interest).

         "MARKET PRICE" means as of any time of determination the average of
the sale prices of the Vencor Common Stock (or other securities held by the
Escrow Agent) for the five Business Day period (appropriately adjusted to take
into account the occurrence during such period of certain events that would
result in an adjustment of the Exchange Rate with respect to the Vencor Common
Shares) commencing on the first Business Day after delivery by the Company or
the Escrow Agent of notice to the Holders that the Company has elected to pay
cash in lieu of delivering Vencor Common Shares (or other property deliverable
upon such exchange) in exchange for any Securities.

         "MOODY'S" means Moody's Investors Services, Inc. and its successors.

         "OBLIGATIONS" means any principal, interest, penalties, fees,
indemnifications, reimbursements, damages and other liabilities payable under
the documentation governing any Indebtedness.



                                        4 
<PAGE>



         "OFFICERS" means the Chairman of the Board, the Chief Executive
Officer, the President, the Chief Operating Officer, the Chief Financial
Officer, the Treasurer, any Assistant Treasurer, the Controller, the Secretary
and any Vice President of the Company or any Subsidiary, as the case may be.

         "OFFICERS' CERTIFICATE" means a certificate signed by two Officers,
one of whom must be the principal executive officer, principal financial officer
or principal accounting officer of the Company.

         "OPINION OF COUNSEL" means an opinion from legal counsel who is
reasonably acceptable to the Trustee.  The counsel may be an employee of or
counsel to the Company, any Subsidiary or the Trustee.

         "PERSON" means any individual, corporation, partnership, joint
venture, association, joint-stock company, trust or unincorporated organization
(including any subdivision or ongoing business of any such entity or
substantially all of the assets of any such entity, subdivision or business).

         "RATING AGENCIES" means (i) S&P and (ii) Moody's or (iii) if S&P or
Moody's or both shall not make a rating of the Securities publicly available, a
nationally recognized securities rating agency or agencies, as the case may be,
selected by the Company, shall be substituted for S&P or Moody's or both, as the
case may be.

         "RATING CATEGORY" means (i) with respect to S&P, any of the following
categories:  BB, B, CCC, CC, C and D (or equivalent successor categories); (ii)
with respect to Moody's, any of the following categories:  Ba, B, Caa, Ca, C and
D (or equivalent successor categories); and (iii) the equivalent of any such
category of S&P or Moody's used by another Rating Agency.  In determining
whether the rating of the Securities has decreased by one or more gradations,
gradations within Rating Categories (+ and - for S&P, 1, 2 and 3 for Moody's; or
the equivalent gradations for another Rating Agency) shall be taken into account
(E.G., with respect to S&P, a decline in a rating from BB+ to BB, as well as
from BB- to B+, shall constitute a decrease of one gradation).

         "RATING DATE" means the date which is 90 days prior to the earlier of
(i) a Change of Control and (ii) the first public notice of the occurrence of a
Change of Control or of the intention by the Company to effect a Change of
Control.

         "RATING DECLINE" means the occurrence on or within 90 days after the
date of the first public notice of the occurrence of a Change of Control or of
the intention by the Company to effect a Change of Control (which period shall
be extended so long as the rating of the Securities is under publicly announced
consideration for possible downgrade by any of the Rating Agencies) of:  (a) in


                                        5 
<PAGE>



the event the Securities are rated by either Moody's or S&P on the Rating Date
as Investment Grade, a decrease in the rating of the Securities by both Rating
Agencies to a rating that is below Investment Grade, or (b) in the event the
Securities are rated below Investment Grade by both Rating Agencies on the
Rating Date, a decrease in the rating of the Securities by either Rating Agency
by one or more gradations (including gradations within Rating Categories as well
as between Rating Categories).

         "RESPONSIBLE OFFICER" when used with respect to the Trustee, means
any officer within the corporate trust department of the Trustee (or any
successor group of the Trustee) or any other officer of the Trustee customarily
performing functions similar to those performed by any of the above designated
officers and also means, with respect to a particular corporate trust matter,
any other officer to whom such matter is referred because of his knowledge of
and familiarity with the particular subject.

         "SECURITIES" means the securities described above, issued under this
Indenture.

         "SECURITIES ACT" means the Securities Act of 1933, as amended.

         "SIGNIFICANT SUBSIDIARY" means any Subsidiary that would be a
"significant subsidiary" as defined in Article 1, Rule 1-02 of Regulation S-X,
promulgated pursuant to the Securities Act, as such Regulation is in effect on
the date hereof.

         "S&P" means Standard & Poor's Corporation and its successors.

         "SUBSIDIARY" means, with respect to any Person, (i) any corporation,
association or other business entity of which more than 50% of the total voting
power of shares of Capital Stock entitled (without regard to the occurrence of
any contingency) to vote in the election of directors, managers or trustees
thereof is at the time owned or controlled, directly or indirectly, by such
Person or one or more of the other Subsidiaries of that Person (or a combination
thereof) and (ii) any partnership (a) the sole general partner or the managing
general partner of which is such Person or a Subsidiary of such Person or (b)
the only general partners of which are such Person or of one or more
Subsidiaries of such Person (or any combination thereof).

          "TIA" means the Trust Indenture Act of 1939, as amended (15 U.S.C.
Section 77aaa-77bbbb) as in effect on the date on which this Indenture is 
qualified under the TIA, except as provided in Section 8.03 hereof.



                                        6 
<PAGE>



         "TRUSTEE" means the party named as such above until a successor
replaces it in accordance with the applicable provisions of this Indenture and
thereafter means the successor serving hereunder.

         "VENCOR" means Vencor, Inc., a Delaware corporation.

         "VENCOR COMMON SHARES" means the 8,301,067 shares of Vencor Common
Stock to be deposited pursuant to the Escrow Agreement.

         "VENCOR COMMON STOCK" means Shares of common stock, $.25 par value,
of Vencor, Inc.

         "WEIGHTED AVERAGE LIFE TO MATURITY" means, when applied to any
Indebtedness at any date, the number of years obtained by dividing (i) the sum
of the products obtained by multiplying (a) the amount of each then remaining
installment, sinking fund, serial maturity or other required payments of
principal, including payment at final maturity, in respect thereof, by (b) the
number of years (calculated to the nearest one-twelfth) that will elapse between
such date and the making of such payment, by (ii) the then outstanding principal
amount of such Indebtedness.

SECTION 1.02.    OTHER DEFINITIONS.

                                             DEFINED IN
        TERM                                   SECTION

         "Bankruptcy Law"......................     5.01
         "Change of Control Offer".............     3.07
         "Change of Control Payment"...........     3.07
         "Change of Control Payment Date"......     3.07
         "Commencement Date"...................     2.15
         "Covenant Defeasance".................     7.03
         "Custodian"...........................     5.01
         "Event of Default"....................     5.01
         "Legal Defeasance"....................     7.02
         "Legal Holiday".......................     9.07
         "Notice of Default"...................     5.01
         "Offer Amount"........................     2.15
         "Offer Period"........................     2.15
         "Paying Agent"........................     2.03
         "Registrar"...........................     2.03



                                        7 
<PAGE>



SECTION 1.03.    INCORPORATION BY REFERENCE OF TIA.

            Whenever this Indenture refers to a provision of the TIA, the
provision is incorporated by reference in and made a part of this Indenture.

            The following TIA terms used in this Indenture have the following
meanings:

            "INDENTURE SECURITIES" means the Securities;

            "INDENTURE SECURITY HOLDER" means a Holder;

            "INDENTURE TO BE QUALIFIED" means this Indenture;

            "INDENTURE TRUSTEE" or "INSTITUTIONAL TRUSTEE" means the
Trustee;

            "OBLIGOR" on the Securities means the Company and any successor
obligor upon the Securities.

            All other terms used in this Indenture that are defined by the TIA,
defined by TIA reference to another statute or defined by the Commission rule
under the TIA have the meanings so assigned to them.

SECTION 1.04.    RULES OF CONSTRUCTION.

            Unless the context otherwise requires:

            (1)   a term has the meaning assigned to it;

            (2)   an accounting term not otherwise defined has the meaning
      assigned to it in accordance with GAAP;

            (3)   "or" is not exclusive;

            (4)   words in the singular include the plural, and in the plural
      include the singular; and

            (5)   provisions apply to successive events and transactions.



                                        8 
<PAGE>



                             ARTICLE 2
           THE SECURITIES; OFFER TO PURCHASE PROCEDURES

SECTION 2.01.    FORM AND DATING.

            The Securities and the Trustee's certificate of authentication shall
be substantially in the form of Exhibit A hereto, the terms of which are
incorporated in and made a part of this Indenture.  The Securities may have
notations, legends or endorsements approved as to form by the Company and
required by law, stock exchange rule, agreements to which the Company is subject
or usage.  Each Security shall be dated the date of its authentication.  The
Securities shall be issuable only in registered form, without coupons, in
denominations of $1,000 and integral multiples thereof.

SECTION 2.02.    EXECUTION AND AUTHENTICATION.

            An Officer of the Company shall sign the Securities for the Company
by manual or facsimile signature.  The Company's seal shall be reproduced on the
Securities and may be in facsimile form.

            If an Officer whose signature is on a Security no longer holds that
office at the time the Security is authenticated, the Security shall
nevertheless be valid.

            A Security shall not be valid until authenticated by the manual
signature of the Trustee.  The signature of the Trustee shall be conclusive
evidence that the Security has been authenticated under this Indenture.  The
form of Trustee's certificate of authentication to be borne by the Securities
shall be substantially as set forth in Exhibit A hereto.

            The Trustee shall, upon a written order of the Company signed by two
Officers of the Company, authenticate Securities for original issue up to the
aggregate principal amount stated in paragraph 4 of the Securities.  The
aggregate principal amount of Securities outstanding at any time shall not
exceed the amount set forth herein except as provided in Section 2.07 hereof.

            The Trustee may appoint an authenticating agent acceptable to the
Company to authenticate Securities.  Unless limited by the terms of such
appointment, an authenticating agent may authenticate Securities whenever the
Trustee may do so.  Each reference in this Indenture to authentication by the
Trustee includes authentication by such agent.  An authenticating agent has the
same rights as an Agent to deal with the Company or an Affiliate of the Company.



                                        9 
<PAGE>



SECTION 2.03.    REGISTRAR AND PAYING AGENT.

            The Company shall maintain (i) an office or agency where Securities
may be presented for registration of transfer or for exchange and where
Securities may be surrendered for exchange in accordance with the provisions of
Article 11 for Vencor Common Shares (and cash, other securities and other
property under certain circumstances) (including any co-registrar, the
"REGISTRAR") and (ii) an office or agency where Securities may be presented
for payment (the "PAYING AGENT").  The Registrar shall keep a register of the
Securities and of their transfer and exchange.  The Company may appoint one or
more co-registrars and one or more additional paying agents.  The term "Paying
Agent" includes any additional paying agent.  The Company may change any Paying
Agent, Registrar or co-registrar without prior notice to any Holder.  The
Company shall notify the Trustee and the Trustee shall notify the Holders of the
name and address of any Agent not a party to this Indenture. If the Company
fails to appoint or maintain another entity as Registrar or Paying Agent, the
Trustee shall act as such.  The Company or any of its Subsidiaries may act as
Paying Agent, Registrar or co-registrar.  The Company shall enter into an
appropriate agency agreement with any Agent not a party to this Indenture, which
shall incorporate the provisions of the TIA.  The agreement shall implement the
provisions of this Indenture that relate to such Agent.  The Company shall
notify the Trustee of the name and address of any such Agent.  If the Company
fails to maintain a Registrar or Paying Agent, or fails to give the foregoing
notice, the Trustee shall act as such, and shall be entitled to appropriate
compensation in accordance with Section 6.07 hereof.

            The Company initially appoints the Trustee as Registrar, Paying
Agent and agent for service of notices and demands in connection with the
Securities.

SECTION 2.04.    PAYING AGENT TO HOLD MONEY IN TRUST.

            On or prior to the due date of principal of, premium, if any, and
interest on any Securities, the Company shall deposit with the Trustee or the
Paying Agent money sufficient to pay such principal, premium, if any, and
interest becoming due.  The Company shall require each Paying Agent other than
the Trustee to agree in writing that the Paying Agent shall hold in trust for
the benefit of the Holders or the Trustee all money held by the Paying Agent for
the payment of principal of, premium, if any, and interest on the Securities,
and shall notify the Trustee of any Default by the Company in making any such
payment.  While any such Default continues, the Trustee may require a Paying
Agent to pay all money held by it to the Trustee.  The Company at any time may
require a Paying Agent to pay all money held by it to the Trustee.  Upon payment
over to the Trustee, the Paying Agent (if other than the Company) shall have no
further liability for the money delivered to


                                        10 
<PAGE>



the Trustee.  If the Company acts as Paying Agent, it shall segregate and hold
in a separate trust fund for the benefit of the Holders all money held by it as
Paying Agent.

SECTION 2.05.    HOLDER LISTS.

            The Trustee shall preserve in as current a form as is reasonably
practicable the most recent list available to it of the names and addresses of
Holders and shall otherwise comply with TIA Section 312(a).  If the Trustee 
is not the Registrar, the Company shall furnish to the Trustee at least seven 
Business Days before each interest payment date and at such other times as the 
Trustee may request in writing a list in such form and as of such date as the 
Trustee may reasonably require of the names and addresses of Holders, including
the aggregate principal amount of the Securities held by each thereof, and the
Company shall otherwise comply with TIA Section 312(a).

SECTION 2.06.    TRANSFER AND EXCHANGE.

            When Securities are presented to the Registrar with a request to
register the transfer or to exchange them for an equal principal amount of
Securities of other denominations, the Registrar shall register the transfer or
make the exchange if its requirements for such transactions are met; PROVIDED,
HOWEVER, that any Security presented or surrendered for registration of
transfer or exchange shall be duly endorsed or accompanied by a written
instruction of transfer in form satisfactory to the Registrar and the Trustee
duly executed by the Holder thereof or by his attorney duly authorized in
writing.  To permit registrations of transfer and exchanges, the Company shall
issue and the Trustee shall authenticate Securities at the Registrar's request,
subject to such rules as the Trustee may reasonably require.

            Neither the Company nor the Registrar shall be required to register
the transfer or exchange of a Security between the record date and the next
succeeding interest payment date.

            No service charge shall be made to any Holder for any registration
of transfer or exchange (except as otherwise expressly permitted herein), but
the Company may require payment of a sum sufficient to cover any transfer tax or
similar governmental charge payable in connection therewith (other than such
transfer tax or similar governmental charge payable upon exchanges pursuant to
Sections 2.10 or 8.05 hereof, which shall be paid by the Company).

            Prior to due presentment for registration of transfer of any
Security, the Trustee, any Agent and the Company may deem and treat the Person
in whose name any Security is registered as the absolute owner of such


                                        11 
<PAGE>



Security for the purpose of receiving payment of principal of, premium, if any,
and interest on such Security and for all other purposes whatsoever, whether or
not such Security is overdue, and neither the Trustee, any Agent nor the Company
shall be affected by notice to the contrary.

SECTION 2.07.    REPLACEMENT SECURITIES.

            If any mutilated Security is surrendered to the Trustee or the
Company, or the Trustee receives evidence to its satisfaction of the
destruction, loss or theft of any Security, the Company shall issue and the
Trustee, upon the written order of the Company signed by two Officers of the
Company, shall authenticate a replacement Security if the Trustee's requirements
for replacements of Securities are met.  If required by the Trustee or the
Company, an indemnity bond must be supplied by the Holder that is sufficient in
the judgment of the Trustee and the Company to protect the Company, the Trustee,
any Agent and any authenticating agent from any loss which any of them may
suffer if a Security is replaced.  Each of the Company and the Trustee may
charge for its expenses in replacing a Security.

            Every replacement Security is an additional obligation of the
Company.

SECTION 2.08.    OUTSTANDING SECURITIES.

            The Securities outstanding at any time are all the Securities
authenticated by the Trustee except for those cancelled by it, those delivered
to it for cancellation and those described in this Section as not outstanding.

            If a Security is replaced pursuant to Section 2.07 hereof, it ceases
to be outstanding unless the Trustee receives proof satisfactory to it that the
replaced Security is held by a bona fide purchaser.

            If the principal amount of any Security is considered paid under
Section 3.01 hereof, it ceases to be outstanding and interest on it ceases to
accrue.

            Subject to Section 2.09 hereof, a Security does not cease to be
outstanding because the Company or an Affiliate of the Company holds the
Security.

SECTION 2.09.    TREASURY SECURITIES.

            In determining whether the Holders of the required principal amount
of Securities then outstanding have concurred in any demand, direction, waiver
or consent, Securities owned by the Company or any


                                        12 
<PAGE>



Affiliate of the Company shall be considered as though not outstanding, except
that for purposes of determining whether the Trustee shall be protected in
relying on any such demand, direction, waiver or consent, only Securities that a
Responsible Officer actually knows to be so owned shall be so considered.
Notwithstanding the foregoing, Securities that are to be acquired by the Company
or an Affiliate of the Company pursuant to an exchange offer, tender offer or
other agreement shall not be deemed to be owned by the Company or an Affiliate
of the Company until legal title to such Securities passes to the Company or
such Affiliate, as the case may be.

SECTION 2.10.    TEMPORARY SECURITIES.

            Until definitive Securities are ready for delivery, the Company may
prepare and the Trustee, upon receipt of the written order of the Company signed
by two Officers of the Company, shall authenticate temporary Securities.
Temporary Securities shall be substantially in the form of definitive Securities
but may have variations that the Company and the Trustee consider appropriate
for temporary Securities.  Without unreasonable delay, the Company shall prepare
and the Trustee, upon receipt of the written order of the Company signed by two
Officers of the Company, shall authenticate definitive Securities in exchange
for temporary Securities.  Until such exchange, temporary Securities shall be
entitled to the same rights, benefits and privileges as definitive Securities.

SECTION 2.11.    CANCELLATION.

            The Company at any time may deliver Securities to the Trustee for
cancellation.  The Registrar and Paying Agent shall forward to the Trustee any
Securities surrendered to them for registration of transfer, exchange or
payment.  The Trustee shall cancel all Securities surrendered for registration
of transfer, exchange, payment, replacement or cancellation and shall return
such cancelled Securities to the Company.  The Company may not issue new
Securities to replace Securities that it has paid or that have been delivered to
the Trustee for cancellation.

SECTION 2.12.    DEFAULTED INTEREST.

            If the Company defaults in a payment of interest on the Securities,
it shall pay the defaulted interest in any lawful manner plus, to the extent
lawful, interest payable on the defaulted interest, to the Persons who are
Holders on a subsequent special record date, which date shall be at the earliest
practicable date but in all events at least five Business Days prior to the
related payment date, in each case at the rate provided in the Securities and in
Section 3.01 hereof.  The Company shall, with the consent of the Trustee, fix or
cause to be fixed each such special record date and payment date.  At least


                                        13 
<PAGE>



15 days before the special record date, the Company (or the Trustee, in the name
of and at the expense of the Company) shall mail to Holders a notice that states
the special record date, the related payment date and the amount of such
interest to be paid.

SECTION 2.13.    RECORD DATE.

            The record date for purposes of determining the identity of Holders
entitled to vote or consent to any action by vote or consent authorized or
Trustee is not the permitted under this Indenture shall be determined as
316(c).

SECTION 2.14.    CUSIP NUMBER.

            The Company in issuing the Securities may use a "CUSIP" number, and
if it does so, the Trustee shall use the CUSIP number in notices to Holders;
PROVIDED that any such notice may state that no representation is made as to
the correctness or accuracy of the CUSIP number printed in the notice or on the
Securities and that reliance may be placed only on the other identification
numbers printed on the Securities.  The Company shall promptly notify the
Trustee of any change in the CUSIP number.



                             ARTICLE 3
                             COVENANTS

SECTION 3.01.    PAYMENT OF SECURITIES.

            The Company shall pay or cause to be paid the principal of, premium,
if any, and interest on the Securities on the dates and in the manner provided
in this Indenture and the Securities.  Principal, premium, if any, and interest
shall be considered paid on the date due if the Paying Agent, if other than the
Company or a Subsidiary of the Company, holds as of 10:00 a.m. Eastern Time on
the due date money deposited by the Company in immediately available funds and
designated for and sufficient to pay all principal, premium, if any, and
interest then due.  Such Paying Agent shall return to the Company, no later than
five days following the date of payment, any money (including accrued interest)
that exceeds such amount of principal, premium, if any, and interest to be paid
on the Securities.

            The Company shall pay interest (including post-petition interest in
any proceeding under any Bankruptcy Law) on overdue principal at the rate equal
to 1% per annum in excess of the interest rate then applicable to the Securities
to the extent lawful.  In addition, it shall pay interest (including


                                        14 
<PAGE>



post-petition interest in any proceeding under any Bankruptcy Law) on overdue
installments of interest (without regard to any applicable grace period) at the
same rate to the extent lawful.

SECTION 3.02.    MAINTENANCE OF OFFICE OR AGENCY.

            The Company shall maintain in the Borough of Manhattan, the City of
New York, an office or agency (which may be an office of the Trustee or an
affiliate of the Trustee, Registrar or co-registrar) where Securities may be
surrendered for registration of transfer or exchange and where Securities may be
surrendered for exchange in accordance with the provisions of Article 11 for
Vencor Common Shares (and cash, other securities and other property under
certain circumstances) and where notices and demands to or upon the Company in
respect of the Securities and this Indenture may be served.  The Company shall
give prompt written notice to the Trustee of the location, and any change in the
location, of such office or agency.  If at any time the Company shall fail to
maintain any such required office or agency or shall fail to furnish the Trustee
with the address thereof, such presentations, surrenders, notices and demands
may be made or served at the Corporate Trust Office of the Trustee.

            The Company may also from time to time designate one or more other
offices or agencies where the Securities may be presented or surrendered for any
or all such purposes and may from time to time rescind such designations;
PROVIDED, HOWEVER, that no such designation or rescission shall in any
manner relieve the Company of its obligation to maintain an office or agency in
the Borough of Manhattan, the City of New York for such purposes.  The Company
shall give prompt written notice to the Trustee of any such designation or
rescission and of any change in the location of any such other office or agency.

            The Company hereby designates The Bank of New York, 101 Barclay
Street, 21 West, New York, New York 10286 as one such office or agency of the
Company in accordance with Section 2.03 hereof.

SECTION 3.03.    COMMISSION REPORTS.

            (i)   So long as any of the Securities remain outstanding, the
Company shall provide to the Trustee within 15 days after the filing thereof
with the Commission copies of the annual reports and of the information,
documents and other reports (or copies of such portions of any of the foregoing
as the Commission may by rules and regulations prescribe) that the Company is
required to file with the Commission pursuant to Section 13 or 15(d) of the
Exchange Act.  All obligors on the Securities shall comply with the provisions
of TIA Section 314(a).  Notwithstanding that the Company may not


                                        15 
<PAGE>



be subject to the reporting requirements of Section 13 or 15(d) of the Exchange
Act or otherwise report on an annual and quarterly basis on forms provided for
such annual and quarterly reporting pursuant to rules and regulations
promulgated by the Commission, the Company shall file with the Commission and
provide to the Trustee (a) within 90 days after the end of each fiscal year,
annual reports on Form 10-K (or any successor or comparable form) containing the
information required to be contained therein (or required in such successor or
comparable form), including a "MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS" and a report thereon by the
Company's certified public accountants; (b) within 45 days after the end of each
of the first three fiscal quarters of each fiscal year, reports on Form 10-Q (or
any successor or comparable form) containing the information required to be
contained therein (or required in any successor or comparable form), including a
"MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS"; and (c) promptly from time to time after the occurrence of an
event required to be therein reported, such other reports on Form 8-K (or any
successor or comparable form) containing the information required to be
contained therein (or required in any successor or comparable form); PROVIDED,
HOWEVER, that the Company shall not be in default of the provisions of this
Section 3.03(i) for any failure to file reports with the Commission solely by
the refusal of the Commission to accept the same for filing.  Each of the
financial statements contained in such reports shall be prepared in accordance
with GAAP.

            (ii)  The Trustee, at the Company's expense, shall promptly mail
copies of all such annual reports, information, documents and other reports
provided to the Trustee pursuant to Section 3.03(i) hereof to the Holders at
their addresses appearing in the register of Securities maintained by the
Registrar.

            (iii) Whether or not required by the rules and regulations of the
Commission, the Company shall file a copy of all such information and reports
with the Commission for public availability and make such information available
to securities analysts and prospective investors upon request.

            (iv)  The Company shall provide the Trustee with a sufficient number
of copies of all reports and other documents and information that the Trustee
may be required to deliver to the Holders under this Section 3.03.

            (v)   Delivery of such reports, information and documents to the
Trustee is for informational purposes only and the Trustee's receipt of such
shall not constitute constructive notice of any information contained therein or
determinable from information contained therein, including the Company's
compliance with any of its covenants hereunder (as to which the Trustee is
entitled to rely exclusively on Officers' Certificates).


                                        16 
<PAGE>



SECTION 3.04.    COMPLIANCE CERTIFICATE.

            (i)   The Company shall deliver to the Trustee, within 120 days
after the end of each fiscal year, an Officers' Certificate stating that a
review of the activities of the Company and its Subsidiaries during the
preceding fiscal year has been made under the supervision of the signing
Officers with a view to determining whether each has kept, observed, performed
and fulfilled its obligations under this Indenture, and further stating, as to
each such Officer signing such certificate, that to the best of his or her
knowledge each entity has kept, observed, performed and fulfilled each and every
covenant contained in this Indenture and is not in default in the performance or
observance of any of the terms, provisions and conditions of this Indenture (or,
if a Default or Event of Default shall have occurred, describing all such
Defaults or Events of Default of which he or she may have knowledge and what
action each is taking or proposes to take with respect thereto), all without
regard to periods of grace or notice requirements, and that to the best of his
or her knowledge no event has occurred and remains in existence by reason of
which payments on account of the principal of or interest, if any, on the
Securities is prohibited or if such event has occurred, a description of the
event and what action each is taking or proposes to take with respect thereto.

            (ii)  So long as not contrary to the then current recommendations of
the American Institute of Certified Public Accountants, the year-end financial
statements delivered pursuant to Section 3.03 above shall be accompanied by a
written statement of the Company's certified independent public accountants (who
shall be a firm of established national reputation) that in making the
examination necessary for certification of such financial statements nothing has
come to their attention which would lead them to believe that the Company or any
Subsidiary of the Company has violated any provisions of Article 3 or of Article
4 of this Indenture or, if any such violation has occurred, specifying the
nature and period of existence thereof, it being understood that such
accountants shall not be liable directly or indirectly to any Person for any
failure to obtain knowledge of any such violation.

            (iii) The Company shall, so long as any of the Securities are
outstanding, deliver to the Trustee, forthwith upon any Officer becoming aware
of (a) any Default or Event of Default or (b) any event of default under any
other mortgage, indenture or instrument referred to in Section 5.01(v) hereof,
an Officers' Certificate specifying such Default, Event of Default or event of
default and what action the Company is taking or proposes to take with respect
thereto.



                                        17 
<PAGE>



SECTION 3.05.    TAXES.

            The Company shall pay, and shall cause each of its Subsidiaries to
pay, prior to delinquency, all material taxes, assessments, and governmental
levies except (i) as contested in good faith by appropriate proceedings and with
respect to which appropriate reserves have been taken in accordance with GAAP or
(ii) where the failure to effect such payment is not adverse in any material
respect to the Holders.

SECTION 3.06.    STAY, EXTENSION AND USURY LAWS.

            The Company covenants (to the extent that it may lawfully do so)
that it shall not at any time insist upon, plead, or in any manner whatsoever
claim or take the benefit or advantage of, any stay, extension or usury law
wherever enacted, now or at any time hereafter in force, that may affect the
covenants or the performance of this Indenture; and the Company (to the extent
that it may lawfully do so) hereby expressly waives all benefit or advantage of
any such law, and covenants that it shall not, by resort to any such law,
hinder, delay or impede the execution of any power herein granted to the
Trustee, but shall suffer and permit the execution of every such power as though
no such law has been enacted.

SECTION 3.07.    CHANGE OF CONTROL.

            Upon the occurrence of a Change of Control Triggering Event, each
Holder of Securities shall have the right to require the Company to repurchase
all or any part (equal to $1,000 or an integral multiple thereof) of such
Holder's Securities pursuant to the offer described below (the "CHANGE OF
CONTROL OFFER") at an offer price in cash equal to 101% of the aggregate
principal amount thereof plus accrued and unpaid interest, if any, thereon to
the date of purchase (the "CHANGE OF CONTROL PAYMENT") on a date that is not
more than 90 days after the occurrence of such Change of Control Triggering
Event (the "CHANGE OF CONTROL PAYMENT DATE").

            Within 30 days following any Change of Control Triggering Event, the
Company shall mail, or at the Company's request the Trustee shall mail, a notice
of a Change of Control to each Holder (at its last registered address with a
copy to the Trustee and the Paying Agent) offering to repurchase the Securities
held by such Holder pursuant to the procedure specified in such notice.  The
Change of Control Offer shall remain open from the time of mailing until the
close of business on the Business Day next preceding the Change of Control
Payment Date.  The notice, which shall govern the terms of the Change of Control
Offer, shall contain all instructions and materials necessary to enable the
Holders to tender Securities pursuant to the Change of Control Offer and shall
state:


                                        18 
<PAGE>



            (1)   that the Change of Control Offer is being made pursuant to
                  this Section 3.07 and that all Securities tendered will be
                  accepted for payment;

            (2)   the Change of Control Payment and the Change of Control
                  Payment Date, which date shall be no earlier than 30 days nor
                  later than 60 days from the date such notice is mailed;

            (3)   that any Security not tendered will continue to accrue
                  interest in accordance with the terms of this Indenture;

            (4)   that, unless the Company defaults in the payment of the Change
                  of Control Payment, all Securities accepted for payment
                  pursuant to the Change of Control Offer will cease to accrue
                  interest after the Change of Control Payment Date;

            (5)   that Holders electing to have a Security purchased pursuant to
                  any Change of Control Offer will be required to surrender the
                  Security, with the form entitled "Option of Holder to Elect
                  Purchase" on the reverse of the Security completed, to the
                  Company, a depositary, if appointed by the Company, or a
                  Paying Agent at the address specified in the notice prior to
                  the close of business on the Business Day next preceding the
                  Change of Control Payment Date;

            (6)   that Holders will be entitled to withdraw their election if
                  the Company, depositary or Paying Agent, as the case may be,
                  receives, not later than the close of business on the Business
                  Day next preceding the Change of Control Payment Date, a
                  facsimile transmission or letter setting forth the name of the
                  Holder, the principal amount of the Security the Holder
                  delivered for purchase, and a statement that such Holder is
                  withdrawing his election to have such Security purchased;

            (7)   that Holders whose Securities are being purchased only in part
                  will be issued new Securities equal in principal amount to the
                  unpurchased portion of the Securities surrendered, which
                  unpurchased portion must be equal to $1,000 in principal
                  amount or an integral multiple thereof; and



                                        19 
<PAGE>



            (8)   the circumstances and relevant facts regarding such Change of
                  Control (including, but not limited to, information with
                  respect to PRO FORMA historical financial information after
                  giving effect to such Change of Control, information regarding
                  the Person or Persons acquiring control and such Person's or
                  Persons' business plans going forward) and any other
                  information that would be material to a decision as to whether
                  to tender a Security pursuant to the Change of Control Offer.

            On the Change of Control Payment Date, the Company shall, to the
extent lawful, (i) accept for payment all Securities or portions thereof
properly tendered and not withdrawn pursuant to the Change of Control Offer,
(ii) deposit with the Paying Agent an amount equal to the Change of Control
Payment in respect of all Securities or portions thereof so tendered and (iii)
deliver or cause to be delivered to the Trustee the Securities so accepted
together with an Officers' Certificate stating the aggregate principal amount of
Securities or portions thereof being purchased by the Company.  The Paying Agent
shall promptly mail to each Holder of Securities so tendered the Change of
Control Payment for such Securities, and the Trustee shall promptly authenticate
and mail (or cause to be transferred by book entry) to each Holder a new
Security equal in principal amount to any unpurchased portion of the Securities
surrendered, if any; PROVIDED that each such new Security shall be in a
principal amount of $1,000 or an integral multiple thereof.  The Company shall
publicly announce the results of the Change of Control Offer on or as soon as
practicable after the Change of Control Payment Date.

            The Company shall comply with the requirements of Rule 14e-1 under
the Exchange Act and any other securities laws and regulations thereunder to the
extent such laws and regulations are applicable in connection with the
repurchase of Securities as a result of a Change of Control.

SECTION 3.08.    CORPORATE EXISTENCE.

            Subject to Section 3.07 and Article 4 hereof, the Company shall do
or cause to be done all things necessary to preserve and keep in full force and
effect (i) its corporate existence, and the corporate, partnership or other
existence of each of its Subsidiaries, in accordance with the respective
organizational documents (as the same may be amended from time to time) of each
Subsidiary and (ii) the rights (charter and statutory), licenses and franchises
of the Company and its Subsidiaries; PROVIDED, HOWEVER, that the Company
shall not be required to preserve any such right, license or franchise, or the
corporate, partnership or other existence of any of its Subsidiaries, if the
Board of Directors shall determine that the preservation thereof is no longer
desirable in the conduct of the business of the Company and its Subsidiaries,


                                        20 
<PAGE>



taken as a whole, and that the loss thereof is not adverse in any material
respect to the Holders.


                             ARTICLE 4
                            SUCCESSORS

SECTION 4.01.    LIMITATIONS ON MERGERS, CONSOLIDATIONS OR SALES OF ASSETS.

            The Company may not consolidate or merge with or into (whether or
not the Company is the surviving corporation), or sell, assign, transfer, lease,
convey or otherwise dispose of all or substantially all of its properties or
assets in one or more related transactions, to another corporation, Person or
entity unless:

            (i)   the Company is the surviving corporation or the entity or the
                  Person formed by or surviving any such consolidation or merger
                  (if other than the Company) or to which such sale, assignment,
                  transfer, lease, conveyance or other disposition shall have
                  been made is a corporation organized or existing under the
                  laws of the United States, any state thereof or the District
                  of Columbia;

            (ii)  the entity or Person formed by or surviving any such
                  consolidation or merger (if other than the Company) or the
                  entity or Person to which such sale, assignment, transfer,
                  lease, conveyance or other disposition shall have been made
                  assumes all the Obligations of the Company under this
                  Indenture and the Securities pursuant to a supplemental
                  indenture in a form reasonably satisfactory to the Trustee;

            (iii) immediately after such transaction no Default or Event of
                  Default exists; and

            (iv)  the Company or the entity or Person formed by or surviving any
                  such consolidation or merger (if other than the Company), or
                  to which such sale, assignment, transfer, lease, conveyance or
                  other disposition shall have been made shall have Consolidated
                  Net Worth immediately after the transaction equal to or
                  greater than the Consolidated Net Worth of the Company
                  immediately preceding the transaction.



                                        21 
<PAGE>



            The Company shall deliver to the Trustee prior to the consummation
of the proposed transaction an Officers' Certificate to the foregoing effect and
an Opinion of Counsel, covering clauses (i) through (iv) above, stating that the
proposed transaction and such supplemental indenture comply with this Indenture.
The Trustee shall be entitled to conclusively rely upon such Officers'
Certificate and Opinion of Counsel.

SECTION 4.02.    SUCCESSOR CORPORATION SUBSTITUTED.

            Upon any consolidation or merger, or any sale, assignment, transfer,
lease, conveyance or other disposition of all or substantially all of the assets
of the Company in accordance with Section 4.01 hereof, the successor corporation
formed by such consolidation or into or with which the Company is merged or to
which such sale, assignment, transfer, lease, conveyance or other disposition is
made shall succeed to, and be substituted for (so that from and after the date
of such consolidation, merger, sale, assignment, transfer, lease, conveyance or
other disposition, the provisions of this Indenture referring to the "Company"
shall refer instead to the successor corporation), and may exercise every right
and power of, the Company under this Indenture with the same effect as if such
successor Person has been named as the Company, herein.


                             ARTICLE 5
                       DEFAULTS AND REMEDIES

SECTION 5.01.    EVENTS OF DEFAULT.

            Each of the following constitutes an "EVENT OF DEFAULT":

                  (i)   default for 30 days in the payment when due of interest
                        on the Securities;

                  (ii)  default in payment when due of the principal of or
                        premium, if any, on the Securities at maturity or
                        otherwise;

                  (iii) failure by the Company to comply with the provisions of
                        Section 3.07;

                  (iv)  failure by the Company to comply with any other covenant
                        or agreement in the Indenture or the Securities for the
                        period and after the notice specified below;



                                        22 
<PAGE>



                  (v)   any default that occurs under any mortgage, indenture or
                        instrument under which there may be issued or by which
                        there may be secured or evidenced any Indebtedness for
                        money borrowed by the Company or any of its Significant
                        Subsidiaries (or the payment of which is Guaranteed by
                        the Company or any of its Significant Subsidiaries),
                        whether such Indebtedness or Guarantee exists on the
                        date hereof or is created after the date hereof, which
                        default (a) constitutes a Payment Default or (b) results
                        in the acceleration of such Indebtedness prior to its
                        express maturity and, in each case, the principal amount
                        of any such Indebtedness, together with the principal
                        amount of any other such Indebtedness under which there
                        has been a Payment Default or that has been so
                        accelerated, aggregates $25.0 million or more;

                  (vi)  failure by the Company or any of its Significant
                        Subsidiaries to pay a final judgment or final judgments
                        aggregating in excess of $25.0 million entered by a
                        court or courts of competent jurisdiction against the
                        Company or any of its Significant Subsidiaries if such
                        final judgment or judgments remain unpaid or
                        undischarged for a period (during which execution shall
                        not be effectively stayed) of 60 days after their entry;

                  (vii) the Company or any Significant Subsidiary thereof
                        pursuant to or within the meaning of any Bankruptcy Law:

                     (a)      commences a voluntary case,

                     (b)      consents to the entry of an order for relief
                              against it in an involuntary case in which it is
                              the debtor,

                     (c)      consents to the appointment of a Custodian of it
                              or for all or substantially all of its property,

                     (d)      makes a general assignment for the benefit of its
                              creditors, or


                                        23 
<PAGE>



                     (e)      admits in writing its inability generally to pay
                              its debts as the same become due;

                  (viii) a court of competent jurisdiction enters an order or
                         decree under any Bankruptcy Law that:

                     (a)      is for relief against the Company or any
                              Significant Subsidiary thereof in an involuntary
                              case in which it is the debtor,

                     (b)      appoints a Custodian of the Company or any
                              Significant Subsidiary thereof or for all or
                              substantially all of the property of the Company
                              or any Significant Subsidiary thereof, or

                     (c)      orders the liquidation of the Company or any
                              Significant Subsidiary thereof,

                         and the order or decree remains unstayed and in effect
                         for 60 days; and

                  (ix)   failure by the Company to make any exchange of Vencor
                         Common Shares (or such other securities or property or
                         cash as shall be added to such Vencor Common Shares or
                         as such Vencor Common Shares shall have been changed
                         into as provided in Article 11 hereof) for any Security
                         at the Exchange Rate and upon the terms set forth in
                         Article 11 hereof.

            The term "BANKRUPTCY LAW" means title 11, U.S. Code or any similar
federal or state law for the relief of debtors.  The term "CUSTODIAN" means
any receiver, trustee, assignee, liquidator or similar official under any
Bankruptcy Law.

            A Default under clause (iv) is not an Event of Default until the
Trustee notifies the Company in writing, or the Holders of at least 25% in
principal amount of the then outstanding Securities notify the Company and the
Trustee in writing, of the Default and the Company does not cure the Default
within 60 days after receipt of such notice.  The written notice must specify
the Default, demand that it be remedied and state that the notice is a "NOTICE
of Default."



                                        24 
<PAGE>



SECTION 5.02.    ACCELERATION.

            If any Event of Default (other than an Event of Default specified in
clause (vii) or (viii) of Section 5.01 hereof) occurs and is continuing, the
Trustee by notice to the Company, or the Holders of at least 25% in aggregate
principal amount of the then outstanding Securities by written notice to the
Company and the Trustee, may declare the unpaid principal of, premium, if any,
and any accrued and unpaid interest on all the Securities to be due and payable
immediately.  Upon such declaration the principal, premium, if any, and interest
shall be due and payable immediately.  If an Event of Default specified in
clause (vii) or (viii) of Section 5.01 hereof occurs with respect to the Company
or any Significant Subsidiary thereof such an amount shall IPSO FACTO become
and be immediately due and payable without further action or notice on the part
of the Trustee or any Holder.

            If an Event of Default occurs under this Indenture prior to the
maturity of the Securities by reason of any willful action (or inaction) taken
(or not taken) by or on behalf of the Company with the intention of avoiding the
prohibition on redemption of such Securities prior to the date of maturity, then
a premium with respect thereto (expressed as a percentage of the amount that
would otherwise be due but for the provisions of this sentence) shall become and
be immediately due and payable to the extent permitted by law upon the
acceleration of such Securities if such Event of Default occurs during the
twelve-month period beginning on __________ of the years set forth below:

                  YEAR                           PERCENTAGE

                  1995.............................. _______ %
                  1996.............................. _______ %
                  1997.............................. _______ %
                  1998.............................. _______ %
                  1999.............................. _______ %
                  2000.............................. _______ %
                  2001.............................. _______ %
                  2002.............................. _______ %
                  2003.............................. _______ %
                  2004.............................. _______ %
                  2005.............................. _______ %
                  2006.............................. _______ %


                 Any determination regarding the primary purpose of any such
action or inaction, as the case may be, shall be made by and set forth in a
resolution of the Board of Directors (including the concurrence of a majority


                                        25 
<PAGE>



of the independent directors of the Company then serving) delivered to the
Trustee after consideration of the business reasons for such action or inaction,
other than the avoidance of payment of such premium or prohibition on
redemption.  In the absence of fraud, each such determination shall be final and
binding upon the Holders of Securities.  Subject to Section 6.01 hereof, the
Trustee shall be entitled to rely on the determination set forth in any such
resolutions delivered to the Trustee.

SECTION 5.03.    OTHER REMEDIES.

            If an Event of Default occurs and is continuing, the Trustee may
pursue any available remedy to collect the payment of principal or interest on
the Securities or to enforce the performance of any provision of the Securities
or this Indenture.

            The Trustee may maintain a proceeding even if it does not possess
any of the Securities or does not produce any of them in the proceeding.  A
delay or omission by the Trustee or any Holder in exercising any right or remedy
accruing upon an Event of Default shall not impair the right or remedy or
constitute a waiver of or acquiescence in the Event of Default.  All remedies
are cumulative to the extent permitted by law.

SECTION 5.04.    WAIVER OF PAST DEFAULTS.

            The Holders of not less than a majority in aggregate principal
amount of the Securities then outstanding by written notice to the Trustee may
on behalf of the Holders of all of the Securities waive any existing Default or
Event of Default and its consequences under this Indenture except a continuing
Default or Event of Default in the payment of the principal of, premium, if any,
or interest on any Security or in respect of the exchange of Securities pursuant
to Article 11 hereof.  Upon any such waiver, such Default shall cease to exist,
and any Event of Default arising therefrom shall be deemed to have been cured
for every purpose of this Indenture; but no such waiver shall extend to any
subsequent or other Default or impair any right consequent thereon.

SECTION 5.05.    CONTROL BY MAJORITY.

            Holders of a majority in principal amount of the then outstanding
Securities may direct the time, method and place of conducting any proceeding
for any remedy available to the Trustee or exercising any trust or power
conferred on it.  However, the Trustee may refuse to follow any direction that
conflicts with law or this Indenture that the Trustee determines may be unduly
prejudicial to the rights of other Holders or that may involve


                                        26 
<PAGE>



the Trustee in personal liability.  The Trustee may take any other action which
it deems proper which is not inconsistent with any such direction.

SECTION 5.06.    LIMITATION ON SUITS.

            A Holder may pursue a remedy with respect to this Indenture or the
Securities only if:

            (i)   the Holder gives to the Trustee written notice of a continuing
                  Event of Default;

            (ii)  the Holders of at least 25% in principal amount of the then
                  outstanding Securities make a written request to the Trustee
                  to pursue the remedy;

            (iii) such Holder or Holders offer and, if requested, provide to the
                  Trustee indemnity satisfactory to the Trustee against any
                  loss, liability or expense;

            (iv)  the Trustee does not comply with the request within 60 days
                  after receipt of the request and the offer and, if requested,
                  the provision of indemnity; and

            (v)   during such 60-day period the Holders of a majority in
                  principal amount of the then outstanding Securities do not
                  give the Trustee a direction inconsistent with the request.

A Holder may not use this Indenture to prejudice the rights of another Holder or
to obtain a preference or priority over another Holder.

SECTION 5.07.    RIGHTS OF HOLDERS TO RECEIVE PAYMENT.

            Notwithstanding any other provision of this Indenture, the right of
any Holder to receive payment of principal, premium, if any, and interest on the
Security, on or after the respective due dates expressed in the Security, or to
bring suit for the enforcement of any such payment on or after such respective
dates, shall not be impaired or affected without the consent of the Holder.

SECTION 5.08.    COLLECTION SUIT BY TRUSTEE.

            If an Event of Default specified in Section 5.01(i) or (ii) hereof
occurs and is continuing, the Trustee is authorized to recover judgment in its
own name and as trustee of an express trust against the Company or any other


                                        27 
<PAGE>



obligor for the whole amount of principal, premium, if any, and interest
remaining unpaid on the Securities and interest on overdue principal and, to the
extent lawful, interest and such further amount as shall be sufficient to cover
amounts due the Trustee under Section 6.07 hereof, including the costs and
expenses of collection, including the reasonable compensation, expenses,
disbursements and advances of the Trustee, its agents and counsel.

SECTION 5.09.    TRUSTEE MAY FILE PROOFS OF CLAIM.

            The Trustee is authorized to file such proofs of claim and other
papers or documents as may be necessary or advisable in order to have the claims
of the Trustee (including any claim for the reasonable compensation, expenses,
disbursements and advances of the Trustee, its agents and counsel) and the
Holders allowed in any judicial proceedings relative to the Company (or any
other obligor upon the Securities), its creditors or its property and shall be
entitled and empowered to collect, receive and distribute any money or other
property payable or deliverable on any such claims and any custodian in any such
judicial proceeding is hereby authorized by each Holder to make such payments to
the Trustee, and in the event that the Trustee shall consent to the making of
such payments directly to the Holders, to pay to the Trustee any amount due to
it for the reasonable compensation, expenses, disbursements and advances of the
Trustee, its agents and counsel, and any other amounts due the Trustee under
Section 6.07 hereof.  To the extent that the payment of any such compensation,
expenses, disbursements and advances of the Trustee, its agents and counsel, and
any other amounts due the Trustee under Section 6.07 hereof out of the estate in
any such proceeding, shall be denied for any reason, payment of the same shall
be secured by a Lien on, and shall be paid out of, any and all distributions,
dividends, money, securities and other properties which the Holders may be
entitled to receive in such proceeding whether in liquidation or under any plan
of reorganization or arrangement or otherwise.  Nothing herein contained shall
be deemed to authorize the Trustee to authorize or consent to or accept or adopt
on behalf of any Holder any plan of reorganization, arrangement, adjustment or
composition affecting the Securities or the rights of any Holder thereof, or to
authorize the Trustee to vote in respect of the claim of any Holder in any such
proceeding.

SECTION 5.10.    PRIORITIES.

            If the Trustee collects any money pursuant to this Article, it shall
pay out the money in the following order:

            First:  to the Trustee, its agents and attorneys for amounts due
under Section 6.07, including payment of all compensation, expense and
liabilities incurred, and all advances made, by the Trustee and the costs and
expenses of collection;


                                        28 
<PAGE>



            Second:  to Holders for amounts due and unpaid on the Securities for
principal, premium, if any, and interest, ratably, without preference or
priority of any kind, according to the amounts due and payable on the Securities
for principal, premium, if any and interest, respectively; and

            Third:  to the Company or to such party as a court of competent
jurisdiction shall direct.

            The Trustee may fix a record date and payment date for any payment
to Holders pursuant to this Section 5.10 upon five Business Days prior notice to
the Company.

SECTION 5.11.    UNDERTAKING FOR COSTS.

            In any suit for the enforcement of any right or remedy under this
Indenture or in any suit against the Trustee for any action taken or omitted by
it as a Trustee, a court in its discretion may require the filing by any party
litigant in the suit of an undertaking to pay the costs of the suit, and the
court in its discretion may assess reasonable costs, including reasonable
attorneys' fees and expenses, against any party litigant in the suit, having due
regard to the merits and good faith of the claims or defenses made by the party
litigant.  This Section does not apply to a suit by the Trustee, a suit by a
Holder pursuant to Section 5.07 hereof, or a suit by Holders of more than 10% in
principal amount of the then outstanding Securities.


                             ARTICLE 6
                              TRUSTEE

SECTION 6.01.    DUTIES OF TRUSTEE.

            (i)   If an Event of Default has occurred and is continuing, the
Trustee shall exercise such of the rights and powers vested in it by this
Indenture, and use the same degree of care and skill in their exercise, as a
prudent man would exercise or use under the circumstances in the conduct of his
own affairs.

            (ii)  Except during the continuance of an Event of Default known to
the Trustee:

            (a)   the duties of the Trustee shall be determined solely by the
                  express provisions of this Indenture or the TIA and the
                  Trustee need perform only those duties that are specifically
                  set forth in this Indenture or the TIA and no


                                        29 
<PAGE>



                  others, and no implied covenants or obligations shall be read
                  into this Indenture against the Trustee, and

            (b)   in the absence of bad faith on its part, the Trustee may
                  conclusively rely, as to the truth of the statements and the
                  correctness of the opinions expressed therein, upon
                  certificates or opinions furnished to the Trustee and
                  conforming to the requirements of this Indenture.  However, in
                  the case of any such certificates or opinions which by any
                  provisions hereof are required to be furnished to the Trustee,
                  the Trustee shall examine the certificates and opinions to
                  determine whether or not they conform to the requirements of
                  this Indenture.

            (iii) The Trustee may not be relieved from liabilities for its own
negligent action, its own negligent failure to act, or its own willful
misconduct, except that:

                  (a)   this paragraph does not limit the effect of paragraph
                        (ii) of this Section;

                  (b)   the Trustee shall not be liable for any error of
                        judgment made in good faith by a Responsible Officer,
                        unless it is proved that the Trustee was negligent in
                        ascertaining the pertinent facts; and

                  (c)   the Trustee shall not be liable with respect to any
                        action it takes or omits to take in good faith in
                        accordance with a direction received by it pursuant to
                        Section 5.05 hereof.

            (iv)  Whether or not therein expressly so provided every provision
of this Indenture that in any way relates to the Trustee is subject to
paragraphs (i), (ii), and (iii) of this Section.

            (v)   No provision of this Indenture shall require the Trustee to
expend or risk its own funds or incur any liability.  The Trustee may refuse to
perform any duty or exercise any right or power unless it receives security and
indemnity satisfactory to it against any loss, liability or expense.

            (vi)  The Trustee shall not be liable for interest on any money
received by it except as the Trustee may agree in writing with the Company.
Absent written instruction from the Company, the Trustee shall not be required
to invest any such money.  Money held in trust by the Trustee need not be
segregated from other funds except to the extent required by law. 


                                        30 
<PAGE>



            (vii) The Trustee shall not be deemed to have knowledge of any
matter unless such matter is actually known to a Responsible Officer.

SECTION 6.02.    RIGHTS OF TRUSTEE.

            (i)   The Trustee may conclusively rely upon any document believed
by it to be genuine and to have been signed or presented by the proper Person.
The Trustee need not investigate any fact or matter stated in the document.

            (ii)  Before the Trustee acts or refrains from acting, it may
require an Officers' Certificate or an Opinion of Counsel or both.  The Trustee
shall not be liable for any action it takes or omits to take in good faith in
reliance on such Officers' Certificate or Opinion of Counsel.  The Trustee may
consult with counsel and the written advice of such counsel or any Opinion of
Counsel shall be full and complete authorization and protection from liability
in respect of any action taken, suffered or omitted by it hereunder in good
faith and in reliance thereon.

            (iii) The Trustee may act through its attorneys and agents and shall
not be responsible for the misconduct or negligence of any agent appointed with
due care.

            (iv)  The Trustee shall not be liable for any action it takes or
omits to take in good faith which it believes to be authorized or within its
rights or powers conferred upon it by this Indenture.  A permissive right
granted to the Trustee hereunder shall not be deemed an obligation to act.

            (v)   Unless otherwise specifically provided in this Indenture, any
demand, request, direction or notice from the Company shall be sufficient if
signed by an Officer of the Company.

SECTION 6.03.    INDIVIDUAL RIGHTS OF TRUSTEE.

            The Trustee in its individual or any other capacity may become the
owner or pledgee of Securities and may otherwise deal with the Company or any
Affiliate of the Company with the same rights it would have if it were not
Trustee.  Any Agent may do the same with like rights.  However, the Trustee is
subject to Sections 6.10 and 6.11 hereof.

SECTION 6.04.    TRUSTEE'S DISCLAIMER.

            The Trustee shall not be responsible for and makes no representation
as to the validity or adequacy of this Indenture or the Securities, nor shall it
be accountable for the Company's use of the proceeds from the


                                        31 
<PAGE>



Securities or any money paid to the Company or upon the Company's direction
under any provision of this Indenture, nor shall it be responsible for the use
or application of any money received by any Paying Agent other than the Trustee,
nor shall it be responsible for any statement or recital herein or any statement
in the Securities or any other document in connection with the sale of the
Securities or pursuant to this Indenture other than its certificate of
authentication.

SECTION 6.05.    NOTICE OF DEFAULTS.

            If a Default or Event of Default occurs and is continuing and if it
is known to the Trustee, the Trustee shall mail to Holders a notice of the
Default or Event of Default within 90 days after it occurs.  Except in the case
of a Default or Event of Default in payment on any Security, the Trustee may
withhold the notice if and so long as a committee of its Responsible Officers in
good faith determines that withholding the notice is in the interests of the
Holders.

SECTION 6.06.    REPORTS BY TRUSTEE TO HOLDERS.

            Within 60 days after each December 31 beginning with the December 31
following the date hereof, the Trustee shall mail to the Holders a brief report
dated as of such reporting date that complies with TIA Section 313(a) (but if no
event described in TIA Section 313(a) has occurred within the twelve months 
preceding the reporting date, no report need be transmitted).  The Trustee also
shall comply with TIA Section 313(b).  The Trustee shall also transmit by mail 
all reports as required by TIA Section 313(c).

            A copy of each report at the time of its mailing to the Holders
shall be mailed to the Company and filed with the Commission and each stock
exchange on which the Securities are listed.  The Company shall promptly notify
the Trustee when the Securities are listed on any stock exchange.

SECTION 6.07.    COMPENSATION AND INDEMNITY.

            The Company shall pay to the Trustee from time to time such
compensation for its acceptance of this Indenture and services hereunder as the
Company and Trustee shall agree in writing.  The Trustee's compensation shall
not be limited by any law on compensation of a trustee of an express trust.  The
Company shall reimburse the Trustee promptly upon request for all reasonable
disbursements, advances and expenses incurred or made by it in addition to the
compensation for its services.  Such expenses shall include the reasonable
compensation, disbursements and expenses of the Trustee's agents and counsel.



                                        32 
<PAGE>



            The Company shall indemnify the Trustee against any and all losses,
liabilities, damages, claims or expenses incurred by it arising out of or in
connection with the acceptance of its duties and the administration of the
trusts under this Indenture, except as set forth below.  The Trustee shall
notify the Company promptly of any claim for which it may seek indemnity.
Failure by the Trustee to so notify the Company shall not relieve the Company of
its obligations hereunder.  The Company shall defend the claim and the Trustee
shall cooperate in the defense.  The Trustee may have separate counsel and the
Company shall pay the reasonable fees and expenses of such counsel.  The Company
need not pay for any settlement made without its consent, which consent shall
not be unreasonably withheld.

            The obligations of the Company under this Section 6.07 shall survive
the satisfaction and discharge of this Indenture.

            The Company need not reimburse any expense or indemnify against any
loss or liability incurred by the Trustee through its own negligence or bad
faith.

            To secure the Company's payment obligations in this Section, the
Trustee shall have a Lien prior to the Securities on all money or property held
or collected by the Trustee, except that held in trust to pay principal and
interest on particular Securities.  Such Lien shall survive the satisfaction and
discharge of this Indenture.

            When the Trustee incurs expenses or renders services after an Event
of Default specified in Section 5.01(vii) or (viii) hereof occurs, the expenses
and the compensation for the services (including the fees and expenses of its
agents and counsel) are intended to constitute expenses of administration under
any Bankruptcy Law.

SECTION 6.08.    REPLACEMENT OF TRUSTEE.

            A resignation or removal of the Trustee and appointment of a
successor Trustee shall become effective only upon the successor Trustee's
acceptance of appointment as provided in this Section.

            The Trustee may resign in writing at any time and be discharged from
the trust hereby created by so notifying the Company.  The Holders of a majority
in principal amount of the then outstanding Securities may remove the Trustee by
so notifying the Trustee and the Company in writing.  The Company may remove the
Trustee if:

            (1)   the Trustee fails to comply with Section 6.10 hereof;



                                        33 
<PAGE>



            (2)   the Trustee is adjudged a bankrupt or an insolvent or an order
      for relief is entered with respect to the Trustee under any Bankruptcy
      Law;

            (3)   a Custodian or public officer takes charge of the Trustee or
      its property; or

            (4)   the Trustee becomes incapable of acting.

            If the Trustee resigns or is removed or if a vacancy exists in the
office of Trustee for any reason, the Company shall promptly appoint a successor
Trustee.  Within one year after the successor Trustee takes office, the Holders
of a majority in principal amount of the then outstanding Securities may appoint
a successor Trustee to replace the successor Trustee appointed by the Company.

            If a successor Trustee does not take office within 60 days after the
retiring Trustee resigns or is removed, the retiring Trustee, the Company, or
the Holders of at least 10% in principal amount of the then outstanding
Securities may petition any court of competent jurisdiction for the appointment
of a successor Trustee.

            If the Trustee after written request by any Holder who has been a
Holder for at least six months fails to comply with Section 6.10 hereof, such
Holder may petition any court of competent jurisdiction for the removal of the
Trustee and the appointment of a successor Trustee.

            A successor Trustee shall deliver a written acceptance of its
appointment to the retiring Trustee and to the Company.  Thereupon, the
resignation or removal of the retiring Trustee shall become effective, and the
successor Trustee shall have all the rights, powers and duties of the Trustee
under this Indenture.  The successor Trustee shall mail a notice of its
succession to Holders.  The retiring Trustee shall promptly transfer all
property held by it as Trustee to the successor Trustee, provided all sums owing
to the Trustee hereunder have been paid and subject to the Lien provided for in
Section 6.07 hereof.  Notwithstanding replacement of the Trustee pursuant to
this Section 6.08, the Company's obligations under Section 6.07 hereof shall
continue for the benefit of the retiring Trustee.

SECTION 6.09.    SUCCESSOR TRUSTEE OR AGENT BY MERGER, ETC.

            If the Trustee or any Agent consolidates, merges or converts into,
or transfers all or substantially all of its corporate trust business to,
another corporation, the successor corporation without any further act shall be
the successor Trustee or Agent. 


                                        34 
<PAGE>



SECTION 6.10.    ELIGIBILITY; DISQUALIFICATION.

            There shall at all times be a Trustee hereunder which shall be a
corporation organized and doing business under the laws of the United States of
America or of any state thereof authorized under such laws to exercise corporate
trustee power, shall be subject to supervision or examination by federal or
state authority and shall have a combined capital and surplus of at least $100.0
million as set forth in its most recent published annual report of condition.

            This Indenture shall always have a Trustee who satisfies the
within the twelve months preceding the requirements of TIA Section 310(a)(1),
310(b).

SECTION 6.11.    PREFERENTIAL COLLECTION OF CLAIMS AGAINST COMPANY.

            The Trustee is subject to TIA Section 311(a), excluding any creditor
(2) and (5).  The Trustee is subject to TIA Section  relationship listed in TIA
shall be subject to TIA Section 311(a) to the extent indicated therein.


                             ARTICLE 7
                      DISCHARGE OF INDENTURE

SECTION 7.01.    DEFEASANCE AND DISCHARGE OF THIS INDENTURE AND THE
                 SECURITIES.

            The Company may, at the option of its Board of Directors evidenced
by a resolution set forth in an Officers' Certificate, at any time, with respect
to the Securities, elect to have either Section 7.02 or 7.03 hereof be applied
to all outstanding Securities upon compliance with the conditions set forth
below in this Article 7.

SECTION 7.02.    LEGAL DEFEASANCE AND DISCHARGE.

            Upon the Company's exercise under Section 7.01 hereof of the option
applicable to this Section 7.02, the Company shall be deemed to have been
discharged from its obligations with respect to all outstanding Securities on
the date the conditions set forth below are satisfied (hereinafter, "LEGAL
DEFEASANCE").  For this purpose, such Legal Defeasance means that the Company
shall be deemed to have paid and discharged the entire Indebtedness represented
by the outstanding Securities, which shall thereafter be deemed to be
"outstanding" only for the purposes of Section 7.05 hereof and the other
Sections of this Indenture referred to in clauses (i) and (ii) of this Section
7.02, and to have satisfied all its other obligations under such Securities and


                                        35 
<PAGE>



this Indenture (and the Trustee, on demand of and at the expense of the Company,
shall execute proper instruments acknowledging the same), except for the
following provisions which shall survive until otherwise terminated or
discharged hereunder:  (i) the rights of Holders of outstanding Securities to
receive solely from the trust fund described in Section 7.04 hereof, and as more
fully set forth in such Section, payments in respect of the principal of,
premium, if any, and interest on such Securities when such payments are due,
(ii) the Company's obligations with respect to such Securities under Sections
2.04, 2.06, 2.07, 2.10 and 3.02 hereof, (iii) the rights, powers, trusts, duties
and immunities of the Trustee hereunder, including, without limitation, the
Trustee's rights under Section 6.07 hereof, and the Company's obligations in
connection therewith and (iv) this Article 7.  Subject to compliance with this
Article 7, the Company may exercise its option under this Section 7.02
notwithstanding the prior exercise of its option under Section 7.03 hereof with
respect to the Securities.

SECTION 7.03.    COVENANT DEFEASANCE.

            Upon the Company's exercise under Section 7.01 hereof of the option
applicable to this Section 7.03, the Company shall be released from its
obligations under the covenants contained in Section 3.07 and Article 4 hereof
with respect to the outstanding Securities on and after the date the conditions
set forth below are satisfied (hereinafter, "COVENANT DEFEASANCE"), and the
Securities shall thereafter be deemed not "outstanding" for the purposes of any
direction, waiver, consent or declaration or act of Holders (and the
consequences of any thereof) in connection with such covenants, but shall
continue to be deemed "outstanding" for all other purposes hereunder (it being
understood that such Securities shall not be deemed outstanding for accounting
purposes).  For this purpose, such Covenant Defeasance means that, with respect
to the outstanding Securities, the Company may omit to comply with and shall
have no liability in respect of any term, condition or limitation set forth in
any such covenant, whether directly or indirectly, by reason of any reference
elsewhere herein to any such covenant or by reason of any reference in any such
covenant to any other provision herein or in any other document and such
omission to comply shall not constitute a Default or an Event of Default under
Section 5.01(iii) hereof, but, except as specified above, the remainder of this
Indenture and such Securities shall be unaffected thereby.  In addition, upon
the Company's exercise under Section 7.01 hereof of the option applicable to
this Section 7.03, Sections 5.01(iv) through 5.01(vi) hereof shall not
constitute Events of Default.

SECTION 7.04.    CONDITIONS TO LEGAL OR COVENANT DEFEASANCE.

            The following shall be the conditions to application of either
Section 7.02 or Section 7.03 hereof to the outstanding Securities:


                                        36 
<PAGE>



            (i)   The Company shall irrevocably have deposited or caused to be
      deposited with the Trustee (or another trustee satisfying the requirements
      of Section 6.10 who shall agree to comply with the provisions of this
      Article 7 applicable to it) as trust funds in trust for the purpose of
      making the following payments, specifically pledged as security for, and
      dedicated solely to, the benefit of the Holders of such Securities, (a)
      cash in U.S. Dollars in an amount, or (b) non-callable Government
      Securities that through the scheduled payment of principal and interest in
      respect thereof in accordance with their terms will provide, not later
      than one day before the due date of any payment, cash in U.S. Dollars in
      an amount, or (c) a combination thereof, in such amounts as will be
      sufficient, in the opinion of a nationally recognized firm of independent
      public accountants expressed in a written certification thereof delivered
      to the Trustee, to pay and discharge and which shall be applied by the
      Trustee (or other qualifying trustee) to pay and discharge the principal
      of, premium, if any, and interest on such outstanding Securities on the
      stated maturity date of such principal or installment of principal,
      premium, if any, or interest.

            (ii)  In the case of an election under Section 7.02 hereof, the
      Company shall have delivered to the Trustee an Opinion of Counsel in the
      United States confirming that (a) the Company has received from, or there
      has been published by, the Internal Revenue Service a ruling or (b) since
      the date hereof, there has been a change in the applicable federal income
      tax law, in either case to the effect that, and based thereon such Opinion
      of Counsel shall confirm that, the Holders of the outstanding Securities
      will not recognize income, gain or loss for federal income tax purposes as
      a result of such Legal Defeasance and will be subject to federal income
      tax on the same amounts, in the same manner and at the same times as would
      have been the case if such Legal Defeasance had not occurred.

            (iii) In the case of an election under Section 7.03 hereof, the
      Company shall have delivered to the Trustee an Opinion of Counsel in the
      United States confirming that the Holders of the outstanding Securities
      will not recognize income, gain or loss for federal income tax purposes as
      a result of such Covenant Defeasance and will be subject to federal income
      tax on the same amounts, in the same manner and at the same times as would
      have been the case if such Covenant Defeasance had not occurred.

            (iv)  No Default or Event of Default with respect to the Securities
      shall have occurred and be continuing on the date of such deposit (other
      than a Default or Event of Default resulting from the borrowing of funds
      to be applied to such deposit) or, insofar as


                                        37 
<PAGE>



      Section 5.01(vii) or 5.01(viii) hereof is concerned, at any time in the
      period ending on the 91st day after the date of such deposit (it being
      understood that this condition shall not be deemed satisfied until the
      expiration of such period).

            (v)    Such Legal Defeasance or Covenant Defeasance shall not result
      in a breach or violation of, or constitute a default under any material
      agreement or instrument (other than this Indenture) to which the Company
      or any of its Subsidiaries is a party or by which the Company or any of
      its Subsidiaries is bound (other than a breach, violation or default
      resulting from the borrowing of funds to be applied to such deposit).

            (vi)   The Company shall have delivered to the Trustee an Opinion of
      Counsel to the effect that after the 91st day following the deposit, the
      trust funds will not be subject to the effect of any applicable
      bankruptcy, insolvency, reorganization or similar laws affecting
      creditors' rights generally.

            (vii)  The Company shall have delivered to the Trustee an Officers'
      Certificate stating that the deposit made by the Company pursuant to its
      election under Section 7.02 or 7.03 hereof was not made by the Company
      with the intent of preferring the Holders of the Securities over the other
      creditors of the Company with the intent of defeating, hindering, delaying
      or defrauding creditors of the Company or others.

            (viii) The Company shall have delivered to the Trustee an Officers'
      Certificate and an Opinion of Counsel in the United States, each stating
      that all conditions precedent provided for relating to either the Legal
      Defeasance under Section 7.02 hereof or the Covenant Defeasance under
      Section 7.03 hereof (as the case may be) have been complied with as
      contemplated by this Section 7.04.

SECTION 7.05.    DEPOSITED MONEY AND GOVERNMENT SECURITIES TO BE HELD IN TRUST;
                 OTHER MISCELLANEOUS PROVISIONS.

            Subject to Section 7.06 hereof, all money and non-callable
Government Securities (including the proceeds thereof) deposited with the
Trustee (or other qualifying trustee, collectively for purposes of this Section
7.05, the "Trustee") pursuant to Section 7.04 hereof in respect of the
outstanding Securities shall be held in trust and applied by the Trustee, in
accordance with the provisions of such Securities and this Indenture, to the
payment, either directly or through any Paying Agent (including the Company
acting as Paying Agent) as the Trustee may determine, to the Holders of such


                                        38 
<PAGE>



Securities of all sums due and to become due thereon in respect of principal,
premium, if any, and interest, but such money need not be segregated from other
funds except to the extent required by law.

            The Company shall pay and indemnify the Trustee against any tax, fee
or other charge imposed on or assessed against the cash or non-callable
Government Securities deposited pursuant to Section 7.04 hereof or the principal
and interest received in respect thereof other than any such tax, fee or other
charge which by law is for the account of the Holders of the outstanding
Securities.

            Anything in this Article 7 to the contrary notwithstanding, the
Trustee shall deliver or pay to the Company from time to time upon the Company's
request any money or non-callable Government Securities held by it as provided
in Section 7.04 hereof which, in the opinion of a nationally recognized firm of
independent public accountants expressed in a written certification thereof
delivered to the Trustee (which may be the opinion delivered under Section
7.04(i) hereof), are in excess of the amount thereof which would then be
required to be deposited to effect an equivalent Legal Defeasance or Covenant
Defeasance.

SECTION 7.06.    REPAYMENT TO COMPANY.

            Any money deposited with the Trustee or any Paying Agent, or then
held by the Company, in trust for the payment of the principal of, premium, if
any, or interest on any Security and remaining unclaimed for two years after
such principal, and premium, if any, or interest has become due and payable
shall be paid to the Company on its written request or (if then held by the
Company) shall be discharged from such trust; and the Holder of such Security
shall thereafter, as an unsecured general creditor, look only to the Company for
payment thereof, and all liability of the Trustee or such Paying Agent with
respect to such trust money, and all liability of the Company as trustee
thereof, shall thereupon cease; PROVIDED, HOWEVER, that the Trustee or such
Paying Agent, before being required to make any such repayment, may at the
expense of the Company cause to be published once, in the NEW YORK TIMES and
THE WALL STREET JOURNAL (national edition), notice that such money remains
unclaimed and that, after a date specified therein, which shall not be less than
30 days from the date of such notification or publication, any unclaimed balance
of such money then remaining will be repaid to the Company.

SECTION 7.07.    REINSTATEMENT.

            If the Trustee or Paying Agent is unable to apply any U.S. Dollars
or non-callable Government Securities in accordance with Section 7.02


                                        39 
<PAGE>



or 7.03 hereof, as the case may be, by reason of any order or judgment of any
court or governmental authority enjoining, restraining or otherwise prohibiting
such application, then the Company's obligations under this Indenture and the
Securities shall be revived and reinstated as though no deposit had occurred
pursuant to Section 7.02 or 7.03 hereof until such time as the Trustee or Paying
Agent is permitted to apply all such money in accordance with Section 7.02 or
7.03 hereof, as the case may be; PROVIDED, HOWEVER, that, if the Company makes
any payment of principal of, premium, if any, or interest on any Security
following the reinstatement of its obligations, the Company shall be subrogated
to the rights of the Holders of such Security to receive such payment from the
money held by the Trustee or Paying Agent.


                            ARTICLE 8
                 AMENDMENT, SUPPLEMENT AND WAIVER

SECTION 8.01.    WITHOUT CONSENT OF HOLDERS.

            The Company and the Trustee may amend or supplement this Indenture
or the Securities without the consent of any Holder:

            (i)         to cure any ambiguity, defect or inconsistency;

            (ii)        to provide for uncertificated Securities in addition to
                        or in place of certificated Securities;

            (iii)       to provide for the assumption of the Company's
                        obligations to the Holders of the Securities in the case
                        of a merger, consolidation or sale of assets pursuant to
                        Article 4 hereof;

            (iv)        to make any change that would provide any additional
                        rights or benefits to the Holders of the Securities or
                        that does not adversely affect the legal rights
                        hereunder of any such Holder; or

            (v)         to comply with requirements of the Commission in order
                        to effect or maintain the qualification of this
                        Indenture under the TIA.

            Upon the request of the Company accompanied by a resolution of its
Board of Directors authorizing the execution of any such supplemental indenture,
and upon receipt by the Trustee of the documents described in Section 8.06
hereof, the Trustee shall join with the Company in the execution of any
supplemental indenture authorized or permitted by the terms of this


                                        40 
<PAGE>



Indenture and to make any further appropriate agreements and stipulations which
may be therein contained, but the Trustee shall not be obligated to enter into
such supplemental indenture which affects its own rights, duties or immunities
under this Indenture or otherwise.

SECTION 8.02.    WITH CONSENT OF HOLDERS.

            Except as provided in the next succeeding paragraphs, this Indenture
or the Securities may be amended or supplemented with the consent of the Holders
of at least a majority in principal amount of the Securities then outstanding
(including consents obtained in connection with a tender offer or exchange offer
for such Securities), and any existing default or compliance with any provision
of this Indenture or the Securities may be waived with the consent of the
Holders of a majority in principal amount of the then outstanding Securities
(including consents obtained in connection with a tender offer or exchange offer
for such Securities).

            Upon the request of the Company accompanied by a resolution of its
Board of Directors authorizing the execution of any such supplemental indenture,
and upon the filing with the Trustee of evidence satisfactory to the Trustee of
the consent of the Holders as aforesaid, and upon receipt by the Trustee of the
documents described in Section 8.06 hereof, the Trustee shall join with the
Company in the execution of such supplemental indenture unless such supplemental
indenture affects the Trustee's own rights, duties or immunities under this
Indenture or otherwise, in which case the Trustee may in its discretion, but
shall not be obligated to, enter into such supplemental indenture.

            It shall not be necessary for the consent of the Holders under this
Section 8.02 to approve the particular form of any proposed amendment or waiver,
but it shall be sufficient if such consent approves the substance thereof.

            After an amendment, supplement or waiver under this Section becomes
effective, the Company shall mail to the Holders affected thereby a notice
briefly describing the amendment, supplement or waiver.  Any failure of the
Company to mail such notice, or any defect therein, shall not, however, in any
way impair or affect the validity of any such supplemental indenture or waiver.
Subject to Sections 5.04 and 5.07 hereof, the Holders of a majority in aggregate
principal amount of the Securities then outstanding may waive compliance in a
particular instance by the Company with any provision of this Indenture or the
Securities.  Without the consent of each Holder affected, however, an amendment
or waiver may not (with respect to any Security held by a non-consenting
Holder):



                                        41 
<PAGE>



         (i)      reduce the principal amount of Securities whose Holders must
                  consent to an amendment, supplement or waiver;

        (ii)      reduce the principal of or change the fixed maturity of any
                  Security;

       (iii)      reduce the rate of or change the time for payment of interest
                  on any Security;

        (iv)      make any change regarding the exchange rights set forth in
                  Article 11 other than to increase the Exchange Rate;

         (v)      waive a Default or Event of Default in the payment of
                  principal of or premium, if any, or interest on the Securities
                  (except a rescission of acceleration of the Securities by the
                  Holders of at least a majority in aggregate principal amount
                  thereof and a waiver of the payment default that resulted from
                  such acceleration);

        (vi)      make any Security payable in money other than that stated in
                  the Securities;

       (vii)      make any change in Section 5.04 or 5.07 hereof; or

      (viii)      make any change in this sentence of this Section 8.02.

SECTION 8.03.    COMPLIANCE WITH TIA.

            Every amendment to this Indenture or the Securities shall be set
forth in a supplemental indenture that complies with the TIA as then in effect.

SECTION 8.04.    REVOCATION AND EFFECT OF CONSENTS.

            Until an amendment or waiver becomes effective, a consent to it by a
Holder is a continuing consent by the Holder and every subsequent Holder of a
Security or portion of a Security that evidences the same debt as the consenting
Holder's Security, even if notation of the consent is not made on any Security.
However, any such Holder or subsequent Holder may revoke the consent as to its
Security if the Trustee receives written notice of revocation before the date
the waiver or amendment becomes effective.  An amendment or waiver becomes
effective in accordance with its terms and thereafter binds every Holder.

            The Company may, but shall not be obligated to, fix a record date
for determining which Holders must consent to such amendment or


                                        42 
<PAGE>



waiver.  If the Company fixes a record date, the record date shall be fixed at
(i) the later of 30 days prior to the first solicitation of such consent or the
date of the most recent list of Holders furnished to the Trustee prior to such
solicitation pursuant to Section 2.05 hereof or (ii) such other date as the
Company shall designate.

SECTION 8.05.    NOTATION ON OR EXCHANGE OF SECURITIES.

            The Trustee may place an appropriate notation about an amendment or
waiver on any Security thereafter authenticated.  The Company in exchange for
all Securities may issue and the Trustee shall authenticate new Securities that
reflect the amendment or waiver.

            Failure to make the appropriate notation or issue a new Security
shall not affect the validity and effect of such amendment or waiver.

SECTION 8.06.    TRUSTEE TO SIGN AMENDMENTS, ETC.

            The Trustee shall sign any amendment or supplemental indenture
authorized pursuant to this Article 8 if the amendment does not adversely affect
the rights, duties, liabilities or immunities of the Trustee.  If it does, the
Trustee may, but need not, sign it.  In signing or refusing to sign such
amendment or supplemental indenture, the Trustee shall be entitled to receive
and, subject to Section 6.01, shall be fully protected in relying upon, an
Officers' Certificate and an Opinion of Counsel as conclusive evidence that such
amendment or Supplemental Indenture is authorized or permitted by this
Indenture, that it is not inconsistent herewith, and that it shall be valid and
binding upon the Company in accordance with its terms.  The Company may not sign
an amendment or supplemental indenture until the Board of Directors approves it.


                                  ARTICLE 9
                                MISCELLANEOUS

SECTION 9.01.    TIA CONTROLS.

            If any provision of this Indenture limits, qualifies or conflicts
with the duties imposed by TIA Section 318(c), the imposed duties shall control.

SECTION 9.02.    NOTICES.

            Any notice or communication by the Company or the Trustee to the
other is duly given if in writing and delivered in person or mailed by first


                                        43 
<PAGE>



class mail (registered or certified, return receipt requested), telex,
telecopier or overnight air courier guaranteeing next day delivery, to the
other's address:

            If to the Company:

            Tenet Healthcare Corporation
            2700 Colorado Avenue
            Santa Monica, California  90404
            Telecopier No.:  (310) 998-6700
            Attention:  Treasurer

            With a copy to:

            Skadden, Arps, Slate, Meagher & Flom
            300 South Grand Avenue, Suite 3400
            Los Angeles, California  90071
            Telecopier No.:  (213) 687-5600
            Attention:  Brian J. McCarthy

            If to the Trustee:

            The Bank of New York
            101 Barclay Street, 21 West
            New York, New York  10286
            Telecopier No.: (212) 815-5915
            Attention:  Corporate Trust Trustee Administration


            The Company or the Trustee, by notice to the others may designate
additional or different addresses for subsequent notices or communications.

            All notices and communications (other than those sent to Holders)
shall be deemed to have been duly given:  at the time delivered by hand, if
personally delivered; five Business Days after being deposited in the mail,
postage prepaid, if mailed; when answered back, if telexed; when receipt
acknowledged, if telecopied; and the next Business Day after timely delivery to
the courier, if sent by overnight air courier guaranteeing next day delivery.

            Unless otherwise set forth above, any notice or communication to a
Holder shall be mailed by first class mail, certified or registered, return
receipt requested, or by overnight air courier guaranteeing next day delivery to
its address shown on the register kept by the Registrar.  Any notice or
Section 311(b).  A Trustee who has resigned or been removed communication shall
to the extent required by the TIA.  Failure to mail a notice or


                                        44 
<PAGE>



communication to a Holder or any defect in it shall not affect its sufficiency
with respect to other Holders.

            If a notice or communication is mailed in the manner provided above
within the time prescribed, it is duly given, whether or not the addressee
receives it.

            If the Company mails a notice or communication to Holders, it shall
mail a copy to the Trustee and each Agent at the same time.

SECTION 9.03.    COMMUNICATION BY HOLDERS WITH OTHER HOLDERS.

            Holders may communicate pursuant to TIA Section 312(b) with other 
Holders with respect to their rights under this Indenture or the Securities.  
The Company, the Trustee, the Registrar and anyone else shall have the 
protection of TIA Section 312(c).

SECTION 9.04.    CERTIFICATE AND OPINION AS TO CONDITIONS PRECEDENT.

            Upon any request or application by the Company to the Trustee to
take any action under this Indenture, the Company shall furnish to the Trustee:

            (1)   an Officers' Certificate (which shall include the statements
      set forth in Section 9.05 hereof) stating that, in the opinion of the
      signers, all conditions precedent and covenants, if any, provided for in
      this Indenture relating to the proposed action have been satisfied; and

            (2)   an Opinion of Counsel (which shall include the statements set
      forth in Section 9.05 hereof) stating that, in the opinion of such
      counsel, all such conditions precedent and covenants have been satisfied.

SECTION 9.05.    STATEMENTS REQUIRED IN CERTIFICATE OR OPINION.

            Each certificate or opinion with respect to compliance with a
condition or covenant provided for in this Indenture (other than a certificate
provided pursuant to TIA Section 314(a)(4)) shall include:

            (1)   a statement that the person making such certificate or opinion
      has read such covenant or condition;



                                        45 
<PAGE>



            (2)   a brief statement as to the nature and scope of the
      examination or investigation upon which the statements or opinions
      contained in such certificate or opinion are based;

            (3)   a statement that, in the opinion of such person, he has made
      such examination or investigation as is necessary to enable him to express
      an informed opinion as to whether or not such covenant or condition has
      been satisfied; and

            (4)   a statement as to whether or not, in the opinion of such
      person, such condition or covenant has been satisfied; PROVIDED,
      HOWEVER, that with respect to matters of fact, an Opinion of Counsel may
      rely on an Officers' Certificate or certificates of public officials.

SECTION 9.06.    RULES BY TRUSTEE AND AGENTS.

            The Trustee may make reasonable rules for action by or at a meeting
of Holders.  The Registrar or Paying Agent may make reasonable rules and set
reasonable requirements for its functions.

SECTION 9.07.    LEGAL HOLIDAYS.

            A "LEGAL HOLIDAY" is a Saturday, a Sunday or a day on which
banking institutions in the City of New York or at a place of payment are
authorized or obligated by law, regulation or executive order to remain closed.
If a payment date is a Legal Holiday at a place of payment, payment may be made
at that place on the next succeeding day that is not a Legal Holiday, and no
interest shall accrue for the intervening period.



                                        46 
<PAGE>



SECTION 9.08.    NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND
                 SHAREHOLDERS.

            No director, officer, employee, incorporator or shareholder of the
Company, as such, shall have any liability for any obligations of the Company
under the Securities, the Indenture or for any claim based on, in respect of, or
by reason of, such obligations or their creation.  Each Holder of the Securities
by accepting a Security waives and releases all such liability.  The waiver and
release are part of the consideration for issuance of the Securities.  Such
waiver may not be effective to waive liabilities under the federal securities
laws and it is the view of the Commission that such a waiver is against public
policy.

SECTION 9.09.    DUPLICATE ORIGINALS.

            The parties may sign any number of copies of this Indenture.  One
signed copy is enough to prove this Indenture.

SECTION 9.10.    GOVERNING LAW.

            The internal law of the State of New York, shall govern and be used
to construe this Indenture and the Securities, without regard to the conflict of
laws provisions thereof.

SECTION 9.11.    NO ADVERSE INTERPRETATION OF OTHER AGREEMENTS.

            This Indenture may not be used to interpret another indenture, loan
or debt agreement of the Company or its Subsidiaries.  Any such indenture, loan
or debt agreement may not be used to interpret this Indenture.

SECTION 9.12.    SUCCESSORS.

            All agreements of the Company in this Indenture and the Securities
shall bind its successors.  All agreements of the Trustee in this Indenture
shall bind its successor.

SECTION 9.13.    SEVERABILITY.

            In case any provision in this Indenture or in the Securities shall
be invalid, illegal or unenforceable, the validity, legality and enforceability
of the remaining provisions shall not in any way be affected or impaired
thereby, it being intended that all of the provisions hereof shall be
enforceable to the full extent permitted by law.



                                        47 
<PAGE>



SECTION 9.14.    COUNTERPART ORIGINALS.

            The parties may sign any number of copies of this Indenture.  Each
signed copy shall be an original, but all of them together represent the same
agreement.

SECTION 9.15.    TABLE OF CONTENTS, HEADINGS, ETC.

            The Table of Contents, Cross-Reference Table and Headings of the
Articles and Sections of this Indenture have been inserted for convenience of
reference only, are not to be considered a part of this Indenture and shall in
no way modify or restrict any of the terms or provisions hereof.


                                  ARTICLE 10
                          REDEMPTION OF SECURITIES

SECTION 10.01.   NOTICES TO TRUSTEE.

            If the Company elects to redeem Securities pursuant to the optional
redemption provisions of Section 10.07 hereof, it shall furnish to the Trustee,
at least 45 days but not more than 60 days before a redemption date, an
Officers' Certificate setting forth (i) the Section of this Indenture pursuant
to which the redemption shall occur, (ii) the redemption date, (iii) the
principal amount of Securities to be redeemed and (iv) the redemption price.

SECTION 10.02.   SELECTION OF SECURITIES TO BE REDEEMED.

            If less than all of the Securities are to be redeemed at any time,
the Trustee shall select the Securities to be redeemed among the Holders in
compliance with the requirements of the principal national securities exchange,
if any, on which the Securities are then listed, or, if the Securities are not
so listed, on a pro rata basis, by lot or by such method the Trustee shall deem
fair and appropriate; provided, that Securities with a principal amount of
$1,000 shall not be redeemed in part.

            The Trustee shall promptly notify the Company in writing of the
Securities selected for redemption and, in the case of any Security selected for
partial redemption, the principal amount thereof to be redeemed.  Securities and
portions of them selected shall be in amounts of $1,000 or whole multiples of
$1,000; except that if all of the Securities of a Holder are to be redeemed, the
entire outstanding amount of Securities held by such Holder, even if not a
multiple of $1,000 shall be redeemed.



                                        48 
<PAGE>



SECTION 10.03.   NOTICE OF REDEMPTION.

            At least 30 days but not more than 60 days before a redemption date,
the Company shall mail or cause to be mailed by first class mail a notice of
redemption to each Holder of Securities to be redeemed at its registered
address.

            The notice shall identify the Securities to be redeemed and shall
state:

            (1)   the redemption date;

            (2)   the redemption price;

            (3)   if any Security is being redeemed in part, the porion of the
      principal amount of such Security to be redeemed and that, after the
      redemption date upon surrender of such Security, a new Security or
      Securities in principal amount equal to the unredeemed portion shall be
      issued;

            (4)   the name and address of the Paying Agent;

            (5)   that Securities called for redemption must be surrendered to
      the Paying Agent to collect the redemption price;

            (6)   that, unless the Company defaults in making such redemption
      payment, interest on Securities called for redemption ceases to accrue on
      and after the redemption date;

            (7)   the paragraph of the Securities and/or Section of this
      Indenture pursuant to which the Securities called for redemption are being
      redeemed; and

            (8)   that no representation is made as to the correctness or
      accuracy of the CUSIP number, if any, listed in such notice or printed on
      the Securities.

            At the Company's request, the Trustee shall give the notice of
redemption in the Company's name and at its expense; provided, however, that the
Company shall have delivered to the Trustee, at least 45 days prior to the
redemption date, an Officers' Certificate requesting that the trustee give such
notice and setting forth the information to be stated in such notice as provided
in the preceding paragraph.  The notice mailed in the manner herein provided
shall be conclusively presumed to have been duly given whether or not the Holder
receives such notice.  In any case, failure to give such notice by mail or any
defect in the notice to the Holder of any Security shall not affect the validity
of the proceeding for the redemption of any other Security.


                                        49 
<PAGE>



SECTION 10.04.   EFFECT OF NOTICE OF REDEMPTION.

            Once notice of redemption is mailed in accordance with Section 10.03
hereof, Securities called for redemption become due and payable on the
redemption date at the redemption price plus accrued and unpaid interest, if
any, to such date.

SECTION 10.05.   DEPOSIT OF REDEMPTION PRICE.

            One Business Day prior to the redemption date, the Company shall
deposit with the Trustee or with the Paying Agent money sufficient to pay the
redemption price of, and accrued interest on, all Securities to be redeemed on
that date.  The Trustee or the Paying Agent shall promptly return to the Company
any money deposited with the Trustee or the Paying Agent of the Company in
excess of the amounts necessary to pay the redemption price of (including any
applicable premium), and accrued interest on, all Securities to be redeemed.

            On and after the redemption date, interest ceases to accrue on the
Securities or the portions of Securities called for redemption.  If a Security
is redeemed on or after an interest record date but on or prior to the related
interest payment date, then any accrued and unpaid interest shall be paid to the
Person in whose name such Security was registered at the close of business on
such record date.  If any Security called for redemption shall not be so paid
upon surrender for redemption because of the failure of the Company to comply
with the preceding paragraph, interest shall be paid on the unpaid principal,
from the redemption date until such principal is paid, and to the extent lawful
on any interest not paid on such unpaid principal, in each case at the rate
provided in the Securities and in Section 3.01 hereof.


SECTION 10.06.   SECURITIES REDEEMED IN PART.

            Upon surrender of a Security that is redeemed in part, the Company
shall issue and the Trustee shall authenticate for the Holder at the expense of
the Company a new Security equal in principal amount to the unredeemed portion
of the Security surrendered.


SECTION 10.07.   OPTIONAL REDEMPTION.

            On or after _________________, 1997, the Company may redeem all or
any portion of the Securities at a redemption price (expressed as a percentage
of the principal amount thereof), as set forth in the immediately succeeding
paragraph, plus accrued and unpaid interest, if any, to the redemption date
(subject to the right of Holders of record on a Record Date to receive interest
due on an interest payment date that is on or prior to such


                                        50 
<PAGE>



Redemption Date); provided, however that the Securities are redeemable prior to
________________, 1998 only if, for a period of twenty consecutive trading days,
the last reported sale price for Vencor Common Shares shall have exceeded 150%
of the Exchange Price then in effect.

            The redemption price as a percentage of the principal amount shall
be as follows, if the Securities are redeemed during the 12-month period
beginning __________________ of the following years:


        YEAR                      PERCENTAGE
        ----                      ----------

        1997....................... _____%
        1998....................... _____%
        1999....................... _____%
        2000....................... _____%
        2001....................... _____%
        2002 and thereafter........ _____%

SECTION 10.08.   MANDATORY REDEMPTION.

            Subject to the Company's obligation to make an offer to repurchase
Securities under certain circumstance pursuant to Section 3.07 hereof, the
Company shall have no mandatory redemption or sinking fund obligations with
respect to the Securities.



                                        51 
<PAGE>



                            ARTICLE 11
                      EXCHANGE OF SECURITIES

SECTION 11.01.   RIGHT OF EXCHANGE.

            Subject to and upon compliance with the provisions of this Article
11, at the option of the Holder thereof, any Security or any portion of the
principal amount thereof which is $1,000 or an integral multiple of $1,000 may,
at any time or from time on or after September 28, 1997 and before the close of
business on _______, 2007 (or if not a Business Day the next preceding Business
Day), or, in case such Security or portion thereof shall have been called for
redemption prior to such date, then in respect of such Security or portion
thereof until and including, but (unless the Company shall default in payment
due upon the redemption thereof) not after, the close of business on the
Business Day next preceding the Redemption Date or, in case such Security or
portion thereof shall have been called for redemption in accordance with Section
11.11, then in respect of such Security or portion thereof until and including,
but (unless the Company shall default in payment due upon the redemption
thereof) not after, the close of business on the Business Day next preceding the
fifteenth day after the date the notice of redemption is mailed, be exchanged
for fully paid and non-assessable Vencor Common Shares (or such other securities
or property or cash as shall be added to such Vencor Common Shares or as such
Vencor Common Shares shall have been changed into as provided in this Article
11) at the Exchange Rate hereinafter provided.

            The rate at which Vencor Common Shares shall be delivered upon
exchange (herein called the "Exchange Rate") shall be initially _______ Vencor
Common Shares for each $1,000 principal amount of Securities exchanged.  The
Exchange Rate shall be subject to adjustment as provided in Sections 11.04,
11.05 and 11.10.

SECTION 11.02.   METHOD OF EXCHANGE.

            In order to exercise the right of exchange, the Holder of any
Security to be exchanged shall surrender such Security to the Escrow Agent at
the office or agency maintained for that purpose pursuant to Section 2.03,
accompanied by written notice to the Company and the Escrow Agent that the
Holder elects to exchange such Security or, if less than the entire principal
amount of a Security is to be exchanged, the portion thereof to be exchanged.
Such notice shall also state the name or names (with address) in which the
certificate or certificates for Vencor Common Shares (or such other securities,
property or cash as shall be added to such Vencor Common Shares or as such
Vencor Common Shares shall have been changed into as provided in this Article
11) which shall be issuable on such exchange shall be issued. 


                                        52 
<PAGE>



Securities surrendered for exchange shall be accompanied (if so required by the
Company or Escrow Agent) by proper assignments thereof to the Company or in
blank for transfer.

            If the Company does not elect to deliver cash in lieu of Vencor
Common Shares pursuant to Section 11.13 hereof, as promptly as practicable after
the receipt of such notice and the proper surrender of such Security as
aforesaid (subject, however, to the following paragraph of this Section 11.02
and to Section 11.13), the Company shall deliver or cause the Escrow Agent to
deliver at said office or agency to such Holder, or on his written order, a
certificate or certificates for the number of full Vencor Common Shares (or such
other securities or property as such Vencor Common Shares shall have been
changed into as provided in this Article 11) deliverable upon the exchange of
any such Security (or specified portion thereof), the property and securities
(other than cash), if any, apportioned thereto, a check for any cash apportioned
thereto and provision shall be made for any fractional interests in Vencor
Common Shares or other securities or property as provided in Section 11.03.
Such exchange shall be deemed to have been effected immediately prior to the
close of business on the date on which such notice shall have been received by
the Company and the Escrow Agent and such Security shall have been properly
surrendered as aforesaid, and at such time the rights of the Holder of such
Security as a Holder shall cease and the person or persons in whose name or
names any certificate or certificates for Vencor Common Shares (or such other
securities or property as shall be added to such Vencor Common Shares or as such
Vencor Common Shares shall have been changed into as provided in this Article
11) shall be deliverable upon such exchange shall, as between such person or
persons and the Company and any Permitted Transferee (as defined below), be
deemed to have become the holder or holders of record of the shares or
securities represented thereby.

            Delivery of such certificate or certificates, of property and
securities, if any, apportioned thereto and of any check for any cash
apportioned thereto and for cash in lieu of fractional interests as aforesaid
may be delayed for a reasonable period of time at the request of the Company
(which shall be made by an Officer's Certificate) in order to effectuate the
calculation of the adjustments of the Vencor Common Shares (or such other
securities or property as shall be added to such Vencor Common Shares or as such
Vencor Common Shares shall have been changed into as provided in this Article
11) and cash apportioned thereto pursuant to this Article 11, to obtain any
certificate representing securities to be delivered or to complete any
reapportionment of the Vencor Common Shares, cash and other property apportioned
thereto which is required by this Article 11.  If, between any date an exchange
under this Section is deemed effected and delivery of the applicable security or
securities, such security or securities shall cease to have any or certain
rights, or a record date or effective date of a transaction to which Section
11.04, 11.05, or 11.10 applies shall occur, the person entitled to receive such
security or securities shall be entitled only to receive such


                                        53 
<PAGE>



security or securities as so modified and any proceeds received thereon on or
after the date and time on which such an exchange is deemed effected, and the
Company, any Permitted Transferee (as defined below), the Trustee and the Escrow
Agent shall not otherwise be liable with respect to the modification, from the
date such an exchange is deemed effected to the date of such delivery, of such
security or securities.

            Except as otherwise expressly provided in this Indenture, no payment
or adjustment shall be made upon any exchange on account of any interest accrued
on the Securities surrendered for exchange or on account of any dividends on the
Vencor Common Shares delivered upon such exchange; provided that interest
accrued on any Securities surrendered for exchange on or after any record date
and before the interest payment date relating thereto shall be paid to the
holder of record as of such record date.

            In the case of any Security which is exchanged in part only, upon
such exchange the Company shall execute and the Trustee shall authenticate and
deliver to the Holder thereof, at the expense of the Company except for transfer
taxes in the case that the new Security is to be registered in a name different
than that in which the old Security was issued, a new Security or Securities of
authorized denominations in principal amount equal to the unexchanged portion of
such Security.

SECTION 11.03.   FRACTIONAL INTERESTS.

            No fractional Vencor Common Shares or fractional interest in other
securities or property shall be delivered upon exchange of Securities.  If more
than one Security shall be surrendered for exchange at one time by the same
Holder, the number of full shares or whole interests in other securities or
property which shall be delivered upon exchange shall be computed on the basis
of the aggregate principal amount of the Securities (or specified portions
thereof to the extent permitted hereby) so surrendered.  Instead of any
fractional Vencor Common Share (or other fractional interest) which would
otherwise be deliverable upon exchange of any Security or Securities (or
specified portions thereof), the Escrow Agent on behalf of the Company shall pay
a cash adjustment in respect of such fractional interest in an amount equal to
the same fraction of the Market Price per share of the Vencor Common Stock (or
the same fraction of the Market Price of a whole interest in the other
securities or property) on the Business Day next preceding the date of exchange.
The Escrow Agent shall obtain the funds for payment of such fractional interests
by, at the direction of the Company, (i) the sale of Vencor Common Shares held
by it, to the extent that after such sale the number of Vencor Common Shares
remaining on deposit with the Escrow Agent shall be sufficient to allow the
exchange of all outstanding Securities for Vencor Common Shares on the basis of
the then applicable Exchange Rate, (ii) the sale of whole interests in the other
securities or property held by it, to the extent that after such sale the number
of whole interests in the other securities


                                        54 
<PAGE>



or property remaining on deposit with the Escrow Agent shall be sufficient to
allow the exchange of all outstanding Securities on the basis of the then
applicable Exchange Rate or (iii) sufficient cash contributions from the
Company.  The Company agrees to furnish any additional moneys required to permit
such payment.

SECTION 11.04.   ADJUSTMENT OF EXCHANGE RATE.

            The Exchange Rate shall be subject to adjustment as follows:

            (a)  In the event Vencor shall, (i) pay a dividend on the Vencor
      Common Stock in Vencor Common Stock, (ii) subdivide outstanding shares of
      Vencor Common Stock into a greater number of shares of Vencor Common
      Stock, (iii) combine outstanding shares of Vencor Common Stock into a
      smaller number of shares of Vencor Common Stock, or (iv) issue, by
      reclassification of Vencor Common Stock, any shares of its common stock
      (which in any such case shall apply to the Vencor Common Shares held by
      the Escrow Agent under the Escrow Agreement), the Exchange Rate in effect
      immediately prior thereto shall be proportionately adjusted so that the
      Holder of any Securities thereafter surrendered for exchange shall be
      entitled (subject to Section 11.13 hereof) to receive the number and kind
      of shares of Vencor Common Stock (in addition to any cash or other
      property apportioned thereto) which he would have owned or have been
      entitled to receive after the happening of any of the events described
      above had such Securities been exchanged immediately prior to the record
      date (or if there is no record date, the effective date) of such event.
      Such adjustments shall be made whenever any of the events listed above
      shall occur and shall become effective as of immediately after the close
      of business on the record date in the case of a stock dividend and shall
      become effective as of immediately after the close of business on the
      effective date in the case of a subdivision or combination or
      reclassification.  Any Holder surrendering any Securities after such
      record date or such effective date, as the case may be, shall be entitled
      to receive Vencor Common Shares at the Exchange Rate as so adjusted
      pursuant to this Section 11.04(a), in addition to any cash or other
      property apportioned thereto.

            (b)  Notwithstanding the foregoing provisions, no adjustment in the
      Exchange Rate shall be required unless such adjustment would require an
      increase or decrease in such Exchange Rate of more than 1%; provided that
      any adjustments which by reason of this paragraph (b) are not required to
      be made shall be carried forward and taken into account in any subsequent
      adjustment.

            (c)  All calculations under this Section 11.04 shall be made to the
      nearest one-ten-thousandth (.0001) of a share.


                                        55 
<PAGE>



            (d)  Whenever the Exchange Rate is adjusted as herein provided, the
      Company shall determine the adjusted Exchange Rate in accordance with this
      Section 11.04 and shall prepare a certificate setting forth such adjusted
      Exchange Rate and any cash and other property apportioned to the Vencor
      Common Shares and showing in detail the facts upon which such adjustments
      are based, and such certificate shall forthwith be filed with the Trustee
      and the Escrow Agent and a notice stating the Exchange Rate has been
      adjusted and setting forth the adjusted Exchange Rate and any cash and
      other property apportioned to the Vencor Common Shares shall as soon as
      practicable be mailed by or on behalf of the Company to the Holders at
      their last addresses as they shall appear upon the Security register
      maintained pursuant to Section 2.05.

SECTION 11.05.   ESCROW AGREEMENT.

            (a)  Simultaneously with the execution and delivery of this
      Indenture the Company is entering into the Escrow Agreement with The Bank
      of New York, as Escrow Agent, pursuant to which it is depositing with the
      Escrow Agent 8,301,067 Vencor Common Shares.  The Escrow Agent shall be
      the exchange agent for the exchange of Securities for the Vencor Common
      Shares (or such other securities or property or cash as shall be added to
      such Vencor Common Shares or as such Vencor Common Shares shall have been
      changed into as provided in this Article 11) as the Holders of all
      outstanding Securities shall from time to time be entitled to receive
      pursuant to this Article 11 upon exchange thereof.  The Company may, at
      any time and from time to time in its sole discretion, sell or transfer
      all or any part of its right, title and interest in the Vencor Common
      Shares to any wholly-owned subsidiary of the Company or any partnership
      all of the general partners and limited partners of which are wholly-owned
      subsidiaries of the Company (any of the foregoing are hereinafter referred
      to as a "Permitted Transferee"); provided that: (1) such Vencor Common
      Shares sold or transferred shall remain subject to the terms and
      conditions of the Escrow Agreement and the Indenture; (2) any such
      Permitted Transferee must expressly agree in writing to become bound by
      the terms and conditions of the Escrow Agreement, as such Escrow
      Agreement, may be amended from time to time, as though such Permitted
      Transferee were a party thereto; (3) the Company shall notify the Escrow
      Agent in writing at the time of any such sale or transfer as to the number
      of Vencor Common Shares so sold or transferred to such Permitted
      Transferee; and (4) such sale or transfer shall be in compliance with
      federal and all applicable state and foreign securities laws.
      Notwithstanding any such sale or transfer, except as otherwise provided in
      the Escrow Agreement, the Company shall remain liable to perform all of
      its duties and obligations hereunder and under the Escrow Agreement.


                                        56 
<PAGE>



            (b)  The Company and any Permitted Transferee, shall each be
      entitled (based upon their respective ownership of Vencor Common Shares)
      to all (i) cash dividends paid on the Vencor Common Shares held by the
      Escrow Agent other than dividends paid pursuant to a plan of liquidation,
      partial liquidation, recapitalization, restructuring or other
      extraordinary cash dividends and (ii) interest payments on any debt
      securities held for exchange by the Escrow Agent which are issued in
      exchange for or with respect to Vencor Common Shares held by the Escrow
      Agent, including pursuant to any merger or consolidation of Vencor or in
      connection with the sale of all or substantially all of the assets of
      Vencor.  The Escrow Agent shall retain and apply as hereinafter provided
      all other dividends paid on the securities held by the Escrow Agent under
      the Escrow Agreement.

            (c)  If any distribution of cash, securities, or other property is
      made on Vencor Common Shares held by the Escrow Agent under the Escrow
      Agreement (other than (i) cash dividends payable on the Vencor Common
      Shares to which the Company or any Permitted Transferee is entitled and
      interest paid on debt securities, as specified in paragraph (b) above,
      (ii) dividends, subdivisions, combinations and reclassifications for which
      an adjustment in the Exchange Rate is made pursuant to Section 11.04 and
      (iii) securities or other property received in a transaction to which
      Section 11.10 applies) or if transferable subscription rights, options,
      warrants or other similar rights are granted to the Company, any Permitted
      Transferee (with respect to any securities or property held by the Escrow
      Agent) or the Escrow Agent, as the holder thereof, in respect of the
      Vencor Common Shares or other property held for exchange by the Escrow
      Agent, the Company will cause to be deposited with the Escrow Agent any
      such securities, other property, cash and rights that it or any Permitted
      Transferee receives and the Escrow Agent shall, as soon as reasonably
      practicable after its receipt of any such securities, other property, cash
      or rights, notify the Company and any affected Permitted Transferee of
      such receipt.  The Company shall cause the Escrow Agent, to the extent
      such rights, options, warrants, securities or other property are
      transferable, to sell all such options, warrants, securities or other
      property and rights for cash.  Any net cash proceeds therefrom shall be
      apportioned equally among the Vencor Common Shares for which outstanding
      Securities are exchangeable as of immediately after the close of business
      on the record date for the distribution or grant to which this paragraph
      (c) applies, or if there is no such record date, the effective date of
      such distribution or grant.  Any Holder surrendering any Securities after
      such record date, or such effective date, as the case may be, and prior to
      the distribution date shall be entitled to receive, in addition to the
      Vencor Common Shares for which such Securities are exchangeable (and any
      cash or property theretofore apportioned to such shares hereunder), the
      amount of cash so apportioned to such Vencor Common


                                        57 
<PAGE>



      Shares.  Whenever a transaction occurs to which this paragraph (c)
      applies, the Company shall determine the Exchange Rate (calculated to the
      nearest .0001 of a share) and the cash and other property apportioned to
      the Vencor Common Shares as adjusted in accordance with this paragraph (c)
      and shall prepare an Officer's Certificate setting forth the Exchange Rate
      and the cash and other property apportioned to the Vencor Common Shares
      held by the Escrow Agent under the Escrow Agreement as so adjusted and
      showing in detail the facts upon which such calculation is based, and such
      certificate shall forthwith be filed with the Trustee and Escrow Agent and
      a notice stating that a transaction to which this paragraph (c) applies
      has occurred and setting forth the Exchange Rate and the cash and other
      property apportioned to the Vencor Common Shares, in accordance with this
      Section 11.5, shall as soon as practicable be mailed by or on behalf of
      the Company to the Holders at their last addresses as they shall appear
      upon the Security register maintained pursuant to Section 2.05.

            (d)  If, at any time any Securities are outstanding, any
      distribution or grant is made to holders of any Vencor Common Shares held
      or required to be held by the Escrow Agent under the Escrow Agreement, of
      any nontransferable subscription rights, options, warrants or other
      similar nontransferable rights, securities or property, the Company shall
      elect to do any of the following:  (i) to the extent permissible by the
      terms of said subscription rights, options, warrants or other similar
      nontransferable rights, securities or property, cause such rights,
      securities or property to be distributed pro rata by the Escrow Agent to
      the Holders pro rata based on the principal amount of the Securities held
      by such Holders of record of Securities shown on the Security register as
      of immediately after the close of business on the record date (or if there
      is no record date, the close of business on the effective date), for such
      distribution or grant, but subject to the provisions of Section 11.7
      hereof, (ii) provide to the Escrow Agent the necessary funds and direct
      the Escrow Agent to exercise such options, warrants, or rights and to hold
      the securities or other property received upon such exercise for the
      benefit of Holders of Securities or (iii) direct the Escrow Agent to
      retain such options, warrants, or rights and to hold the securities or
      property for delivery to the Holders of Securities upon the exchange of
      such Securities.  Any options, warrants, rights, securities or property
      retained pursuant to clause (iii) above and any securities or other
      property received by the Escrow Agent pursuant to clause (ii) above less
      any cash, property or securities as determined pursuant to the last three
      sentences of this paragraph (d) delivered to or sold or segregated for the
      benefit of the Company or any Permitted Transferee, shall be apportioned
      equally among the Vencor Common Shares for which outstanding Securities
      are exchangeable as of immediately after the close of business on the
      record date for the distribution or grant to which this paragraph (d)
      applies or, if there is


                                        58 
<PAGE>



      no such record date, the effective date of such distribution or grant.
      Any Holder exchanging any Securities after such record date, or such
      effective date, as the case may be, shall be entitled to receive the
      Vencor Common Shares for which such Securities are exchangeable and the
      amount of cash, or any such options, warrants, rights, securities or
      property, so apportioned to such Vencor Common Shares, but subject to the
      provisions of the last three sentences of this paragraph and Section 11.7
      hereof.  Notwithstanding the foregoing, any such options, warrants or
      rights which may expire prior to the final maturity date of the
      Securities, may not be retained pursuant to clause (iii) of this paragraph
      (d) beyond the expiration date thereof, but must be distributed or
      exercised pursuant to clause (i) or (ii) of this paragraph (d).  The
      Company shall be promptly repaid any amounts supplied by it pursuant to
      the foregoing clause (ii) of this paragraph (d).  If the Company is
      entitled to any amount because it provided funds to pay for an exercise
      pursuant to clause (ii) of this paragraph (d), it shall receive such
      amount in cash held by the Escrow Agent, but if the amount of such cash
      held by the Escrow Agent shall be less than the amount due the Company,
      the Escrow Agent shall (i) as soon as reasonably practicable and to the
      extent legally permissible, sell in accordance with written instructions
      received from the Company such number of Vencor Common Shares or other
      property or securities held or required to be held by the Escrow Agent, as
      may be necessary to realize an amount of proceeds which, after payment of
      any taxes by the Company and the Escrow Agent on such sale (which shall be
      evidenced by an Opinion of Counsel and Officer's Certificate in the manner
      specified in Section 11.7 hereof), shall equal the amount of any such
      insufficiency, or (ii) if in the opinion of the Company such sale is not
      advisable or legally permissible, segregate for the benefit of the Company
      or deliver to the Company an amount of property or securities, held or
      required to be held by the Escrow Agent, having a Market Price, as
      determined by an Officer's Certificate, equal to the amount of such
      insufficiency.  Following such sale, segregation or delivery, the Vencor
      Common Shares, cash and other property or securities, held by the Escrow
      Agent shall be proportionately adjusted as of immediately after the close
      of business on the record date for the distribution or grant to which this
      paragraph (d) applies or, if there is no record date, the effective date
      of such distribution or grant.

            (e)  The Company shall be entitled to any net income or gain
      resulting from investments of cash made by the Escrow Agent pursuant to
      Section 6 of the Escrow Agreement, in accordance with the provisions
      thereof, and the Company shall reimburse or cause the reimbursement of the
      Escrow Agent for any losses realized in respect of such investments.



                                        59 
<PAGE>



            (f)  The Company and any Permitted Transferee shall each have the
      full and unqualified right and power to exercise any rights to vote, or to
      give consents to take any other action in respect of, its respective share
      of the Vencor Common Shares or any other security held in escrow under the
      Escrow Agreement at any time, and the Escrow Agent shall have no duty to
      exercise any such rights.

            (g)  The Company (or any applicable Permitted Transferee) shall be
      entitled, out of the property held by the Escrow Agent, to such number of
      Vencor Common Shares and such amount of any cash (investments contemplated
      by this Section 11.05 being deemed for these purposes to be cash and to be
      valued at their outstanding principal balance) and other property as shall
      be in excess of the number of Vencor Common Shares and the amount of cash
      and other property apportioned thereto, all held by the Escrow Agent,
      which would be deliverable upon the exchange of all Securities then
      outstanding, and such excess shall be held by the Escrow Agent for the
      account of the Company and, subject to the limitations contained in the
      Escrow Agreement, released to the Company (or to any applicable Permitted
      Transferee) upon demand of the Company. With respect to releases of cash,
      the Escrow Agent shall release cash or such of the investment securities
      so held as the Company may designate.

            (h)  Upon expiration of the right to surrender Securities for
      exchange and when all other obligations of the Company and any Permitted
      Transferee shall have been satisfied under the Escrow Agreement, all cash
      and investments and other property held by the Escrow Agent under the
      Escrow Agreement which are not required with respect to Securities
      previously surrendered for exchange will, subject to the limitations
      contained in the Escrow Agreement, be delivered by the Escrow Agent to the
      Company and any Permitted Transferee based upon their respective shares of
      the Vencor Common Shares.

SECTION 11.06.   NOTICE OF CERTAIN EVENTS.

            In case at any time:

            (a)  Vencor shall declare a dividend (or any other distribution) on
      Vencor Common Stock; or

            (b)  Vencor shall authorize the granting of subscription rights,
      options, warrants or other similar rights to holders of Vencor Common
      Stock; or

            (c)  there shall occur any reclassification of Vencor Common Stock
      (other than a subdivision or combination of outstanding shares of


                                        60 
<PAGE>



      Vencor Common Stock) or any consolidation or merger to which Vencor is a
      party and for which approval of any stockholders of Vencor is required, or
      the sale or transfer of all or substantially all of the assets of Vencor;
      or

            (d)  there shall occur the voluntary or involuntary dissolution,
      liquidation or winding up of Vencor;  then the Company shall cause to be
      filed at the office or agency maintained for the purpose of exchange of
      Securities pursuant to Section 2.03, and shall cause to be mailed to the
      Holders of Securities at their last addresses as they shall appear upon
      the Security register, as promptly as practicable after receipt of notice
      by the Company of any record date or other applicable date hereinafter
      specified a notice stating (x) the date on which a record is to be taken
      for the purpose of such dividend, distribution, or grant of rights, or, if
      a record is not to be taken, the date as of which the holders of Vencor
      Common Stock of record to be entitled to such dividend, distribution or
      grant of rights is to be determined, or (y) the date on which such
      reclassification, consolidation, merger, sale, transfer, dissolution,
      liquidation or winding up is expected to become effective, and the date as
      of which it is expected that holders of Vencor Common Stock shall be
      entitled to exchange their Vencor Common Stock for securities or other
      property deliverable upon such reclassification, consolidation, merger,
      sale, transfer, dissolution, liquidation or winding up.

SECTION 11.07.   TRANSFER TAXES.

            The Company will pay any and all documentary, stamp, transfer or
similar taxes that may be payable in respect of the transfer and delivery of
Vencor Common Shares (or such other securities or property as shall be added to
such Vencor Common Shares or as such Vencor Common Shares shall have been
changed into as provided in this Article 11) pursuant hereto; provided that the
Company shall not be required to pay any such tax which may be payable in
respect of any transfer involved in the delivery of Vencor Common Shares (or
such other securities or property as shall be added to such Vencor Common Shares
or as such Vencor Common Shares shall have been changed into as provided in this
Article 11) in a name other than that in which the Securities so exchanged were
registered and no such transfer or delivery shall be made unless and until the
person requesting such transfer has paid to the Company the amount of any such
tax, or has established, to the satisfaction of the Company, that such tax has
been paid; and, provided further, that the Company shall not be obligated to pay
any withholding taxes payable by Securityholders due to the exchange of any
Securities.



                                        61 
<PAGE>



SECTION 11.08.   SHARES FREE AND CLEAR.

            The Company hereby warrants that, upon exchange of a Security
pursuant to this Indenture, the Holder thereof shall receive legal and valid
title to the Vencor Common Shares and any cash and other property apportioned
thereto for which such Security is at such time exchangeable pursuant to this
Indenture free and clear of any and all Liens.  Except as provided in Section
11.07, the Company will discharge all Liens and pay all charges with respect to
the delivery of Vencor Common Shares (or such other securities or property as
shall be added to such Vencor Common Shares or as such Vencor Common Shares
shall have changed into as provided in this Article 11).

SECTION 11.09.   CANCELLATION OF SECURITIES.

            All Securities delivered for exchange shall be delivered by the
Escrow Agent to the Trustee for cancellation and the Trustee shall dispose of
the same as provided in Section 2.11.

SECTION 11.10.   CONSOLIDATION, ETC., OF VENCOR.

            (a)  In the case of any consolidation or merger of Vencor with or
      into any other corporation or of any sale or transfer of all or
      substantially all of the assets of Vencor or of any voluntary or
      involuntary dissolution, liquidation or winding up of Vencor, the Company
      shall execute and deliver to the Trustee a supplemental indenture
      satisfactory in form to the Trustee, and to the Escrow Agent a
      supplemental escrow agreement satisfactory in form to the Escrow Agent,
      providing that the holder of each Security then outstanding shall have the
      right thereafter to exchange such Security for (i) the kind and amount of
      securities and other property receivable upon such consolidation, merger,
      sale, transfer, dissolution, liquidation or winding up by a holder of the
      number of Vencor Common Shares for which such Security was exchangeable
      immediately prior to such consolidation, merger, sale, transfer,
      dissolution, liquidation or winding up had such holder of Vencor Common
      Shares failed to exercise any rights of election as to the kind or amount
      of securities or other property receivable upon such consolidation,
      merger, sale, transfer, dissolution, liquidation or winding up, and (ii)
      the kind and amount of securities (other than Vencor Common Shares) and
      other property or cash apportioned to the Vencor Common Shares for which
      such Security was exchangeable immediately prior to such consolidation,
      merger, sale, transfer, dissolution, liquidation or winding up.  Such
      supplemental indenture shall provide for adjustments which shall be as
      nearly equivalent as may be practicable to the adjustments provided for in
      this Article 11.



                                        62 
<PAGE>



            (b)  The provisions of this Section 11.10 shall similarly apply to
      any successive consolidation, merger, sale, transfer, dissolution,
      liquidation or winding up.

SECTION 11.11.   CERTAIN TENDER OR EXCHANGE OFFERS FOR VENCOR COMMON STOCK.

            In the event that a tender offer or exchange offer for the Vencor
Common Stock (or such other securities as shall be added to such Vencor Common
Shares or as such Vencor Common Shares shall have been changed into as provided
in this Article 11) is commenced by any person (including the issuer of such
security) after the date on which the Securities may be redeemed at the option
of the Company pursuant to Section 10.07, the Company has the right to redeem,
in each case, in accordance with this Section 11.11 at the optional redemption
prices set forth in the form of Security hereinabove recited, together with
accrued interest to the date fixed for redemption, all or any part of the
Securities so long as (i) the Trustee shall have received notice of such
redemption from the Company not later than two days after the date of
commencement of such tender or exchange offer; provided that if the second such
day is not a Business Day, the Trustee shall have received such notice not later
than the next succeeding Business Day, (ii) any notice of redemption
(substantially in the form of Exhibit A attached hereto) shall be mailed to the
Holders of Securities called for redemption not later than ten days after the
date of commencement of such tender or exchange offer as determined by Company
and (iii) such tender or exchange offer shall not have been terminated by the
date that such notice is mailed. If notice of redemption is given in accordance
with the preceding sentence, the Company shall thereafter have the right to
instruct the Escrow Agent to tender, for its own account or for the account of a
Permitted Transferee, Vencor Common Shares (or such other securities, as
aforesaid) pursuant to such tender or exchange offer, provided the number of
Vencor Common Shares (or such other securities, as aforesaid) so tendered does
not include the number of such Vencor Common Shares (or such other securities,
as aforesaid) which would be deliverable upon exchange of the aggregate
principal amount of the outstanding Securities after giving effect to such
redemption in accordance with this Section 11.11.  In addition to the
information called for by Section 10.03, any notice of redemption given pursuant
to this Section 11.11 shall state whether or not the Company by the date of such
notice has decided to cause Vencor Common Shares (or such other securities, as
aforesaid) held in escrow to be tendered pursuant to such tender or exchange
offer and, if tendered, that such Vencor Common Shares (or such other
securities, as aforesaid) may be sold, to the extent purchased, to the offeror
in accordance with such tender or exchange offer except to the extent that the
Holders of Securities called for redemption duly surrender their Securities to
the Escrow Agent in exchange for Vencor Common Shares (or such other securities,
as aforesaid) by not later than the close of business on the last Business Day
preceding the fifteenth day (which date shall be specified) after the date such
notice is mailed or to the extent that


                                        63 
<PAGE>



the Company otherwise determines to withdraw the shares so tendered.  The
Company shall cause to be withdrawn from the tender or exchange offer, or
otherwise to be delivered to the Escrow Agent, a number of Vencor Common Shares
(or such other securities, as aforesaid) at least equal to the number of Vencor
Common Shares (or such other securities, as aforesaid) deliverable in exchange
for Securities which are called for redemption pursuant to this Section 11.11
and are duly surrendered for exchange for Vencor Common Shares (or such other
securities, as aforesaid) by not later than the close of business on such last
Business Day preceding the fifteenth day in order to permit such Securities so
to be exchanged.  The proceeds of the sale of Vencor Common Shares (or such
other securities, as aforesaid) sold pursuant to the tender or exchange offer
and any shares tendered which are returned to the Company or the Escrow Agent
following the expiration or termination of such tender or exchange offer, or
which are withdrawn, which are no longer deliverable in exchange for Securities
called for redemption pursuant to this Section 11.11, shall be the property of
the Company and not subject to the Escrow Agreement.

SECTION 11.12.   OBLIGATIONS OF TRUSTEE AND ESCROW AGENT.

            Subject to the provisions of Section 6.01, neither the Trustee nor
the Escrow Agent shall at any time be under any duty or responsibility to any
Holder of Securities to determine whether any facts exist which may require any
adjustment of the Exchange Rate, or with respect to the nature or extent of any
such adjustment when made, or with respect to the method employed herein, or in
any supplemental indenture, in making the same.  Neither the Trustee nor the
Escrow Agent shall be accountable with respect to the validity or value (or the
kind or amount) of any Vencor Common Stock, or of any securities or property,
which may at any time be issued or delivered upon the exchange of any Security;
and neither the Trustee nor the Escrow Agent makes any representation with
respect thereto.  Neither the Trustee nor the Escrow Agent shall be responsible
for any failure of the Company to transfer or deliver any Vencor Common Shares
or stock certificates or other securities or property to the Escrow Agent as
provided herein or, subject to the provisions of Section 6.01 and the express
obligations assumed under the Escrow Agreement, to comply with any of the
covenants of the Company contained in this Article 11.

SECTION 11.13. CASH EQUIVALENT.

            Notwithstanding any other provisions in this Article 11, in lieu of
delivering certificates representing Vencor Common Shares in exchange for
Securities surrendered in accordance with Section 11.02, the Escrow Agent shall,
if so directed by the Company, pay to the Holder surrendering such Securities an
amount in cash equal to the value of Vencor Common Shares for which such
Securities are exchangeable (based on the Market Price on the date of receipt by
the Escrow Agent of the notice of exchange delivered by such


                                        64 
<PAGE>



Holder pursuant to Section 11.02), plus any cash and other property theretofore
apportioned to such Vencor Common Shares in accordance with Section 11.05. Prior
to so directing the Escrow Agent to make any such cash payment, the Company
shall deposit with the Escrow Agent the cash so payable.

SECTION 11.14.   REGISTRATION OF VENCOR COMMON SHARES.

            The Company hereby covenants that at any time that a Holder of
Securities exchanges such Securities for certificates representing Vencor Common
Shares and an effective registration statement of Vencor filed with the
Commission (or related qualification under state blue sky or securities law)
would be required in order for the Escrow Agent to deliver such Vencor Common
Shares in the United States or to a United States Person, the Company will use
its reasonable best efforts to ensure that an effective registration statement
of Vencor is on file with the Commission covering the delivery of such Vencor
Common Shares and any qualification under state blue sky or securities laws
required for such delivery is maintained.  If such registration statement is not
effective or such qualification is not maintained, the Company shall direct the
Escrow Agent to pay such Holder cash, in lieu of delivering such Vencor Common
Shares in accordance with the provisions of Section 11.13.


                                  ARTICLE 12
                                SUBORDINATION

SECTION 12.01.   AGREEMENT TO SUBORDINATE.

            The Company agrees, and each Holder by accepting a Security agrees,
that the Indebtedness evidenced by the Security is subordinated in right of
payment, to the extent and in the manner provided in this Article, to the prior
payment in full of all Senior and Senior Subordinated Debt (whether outstanding
on the date hereof or hereafter created, incurred, assumed or Guaranteed), and
that the subordination is for the benefit of the holders of Senior and Senior
Subordinated Debt.

SECTION 12.02.   CERTAIN DEFINITIONS.

            "Designated Senior and Senior Subordinated Debt" means (i) so long
as any Obligations are outstanding under the Credit Facility, such Obligations
and (ii) thereafter, any other Senior and Senior Subordinated Debt permitted
hereunder the principal amount of which is $100.0 million or more and that has
been designated by the Company as "Designated Senior and Senior Subordinated
Debt".



                                        65 
<PAGE>



            "Representative" means the indenture trustee or other trustee, agent
or representative for any Senior and Senior Subordinated Debt.

            "Senior and Senior Subordinated Debt" means any Indebtedness of the
Company unless the instrument under which such Indebtedness is incurred
expressly provides that it is on a parity with or subordinated in right of
payment to the Securities and all Obligations with respect to any of the
foregoing.  Notwithstanding anything to the contrary in the foregoing, Senior
and Senior Subordinated Debt will not include (w) any liability for federal,
state, local or other taxes owed or owing by the Company, (x) any Indebtedness
of the Company to any of its Subsidiaries or other Affiliates or (y) any trade
payables .

            A distribution may consist of cash, securities or other property, by
set-off or otherwise.

SECTION 12.03.   LIQUIDATION; DISSOLUTION; BANKRUPTCY.

            Upon any distribution to creditors of the Company in a liquidation
or dissolution of the Company or in a bankruptcy, reorganization, insolvency,
receivership or similar proceeding relating to the Company or its property, an
assignment for the benefit of creditors or any marshalling of the Company's
assets and liabilities, holders of Senior and Senior Subordinated Debt will be
entitled to receive payment in full of all Obligations due in respect of such
Senior and Senior Subordinated Debt (including interest accruing after the
commencement of any such proceeding at the rate specified in the applicable
Senior and Senior Subordinated Debt, whether or not allowed or allowable as a
claim in such proceeding) before the Holders will be entitled to receive any
payment with respect to the Securities and until all Obligations with respect to
Senior and Senior Subordinated Debt are paid in full, any distribution to which
the Holders would be entitled shall be made to the holders of Senior and Senior
Subordinated Debt (except that Holders may receive securities that (i) are
subordinated to at least the same extent as the Securities to Senior and Senior
Subordinated Debt and any securities issued in exchange for Senior and Senior
Subordinated Debt, (ii) are unsecured (except to the extent the Securities are
secured), (iii) are not Guaranteed by any Subsidiary of the Company (except to
the extent the Securities are so Guaranteed), and (iv) have a Weighted Average
Life to Maturity and final maturity that are not shorter than the Weighted
Average Life to Maturity of the Securities or any securities issued to Holders
of Senior and Senior Subordinated Debt under the Credit Facility pursuant to a
plan of reorganization or readjustment.

SECTION 12.04.   DEFAULT ON DESIGNATED SENIOR AND SENIOR SUBORDINATED DEBT.



                                        66 
<PAGE>



            The Company may not make any payment upon or in respect of the
Securities (except in securities that  are subordinated to at least the same
extent as the Securities to Senior and Senior Subordinated Debt and any
securities issued in exchange for Senior and Senior Subordinated Debt if:

            (i)  a default in the payment of the principal of, premium, if any
      or interest on Designated Senior and Senior Subordinated Debt occurs and
      is continuing beyond any applicable period of grace in the agreement,
      indenture or other document governing such Designated Senior and Senior
      Subordinated Debt; or

            (ii)  any other default occurs and is continuing with respect to
      Designated Senior and Senior Subordinated Debt that permits holders of the
      Designated Senior and Senior Subordinated Debt as to which such default
      relates to accelerate its maturity and the Trustee receives a notice of
      such default (a "Payment Blockage Notice"), for so long as any Obligations
      are outstanding under the Credit Facility, from the Representative
      thereunder and, thereafter, from the holders or Representative of any
      Designated Senior and Senior Subordinated Debt.  If the Trustee receives
      any such notice, a subsequent notice received within 360 days thereafter
      shall not be effective for purposes of this Section 12.04.  No nonpayment
      default that existed or was continuing on the date of delivery of any such
      notice to the Trustee shall be, or be made, the basis for a subsequent
      notice.

            The Company may and shall resume payments on the Securities:

            (1)  in the case of a payment default, upon the date which the
      default is cured or waived, and

            (2)  in the case of a nonpayment default, the earlier of the date on
      which such nonpayment default is cured or waived or 179 days after the
      date on which the applicable Payment Blockage Notice is received, unless
      the maturity of any Designated Senior and Senior Subordinated Debt has
      been accelerated.

SECTION 12.05.   ACCELERATION OF SECURITIES.

            If payment of the Securities is accelerated because of an Event of
Default, the Company shall promptly notify holders of Senior and Senior
Subordinated Debt of the acceleration.

SECTION 12.06.   WHEN DISTRIBUTION MUST BE PAID OVER.

            In the event that the Trustee or any Holder receives any payment of
any Obligations with respect to the Securities at a time when the Trustee or
such Holder, as applicable, has actual knowledge that such payment


                                        67 
<PAGE>



is prohibited by Section 12.04 hereof, such payment shall be held by the Trustee
or such Securityholder, in trust for the benefit of, and shall be paid forthwith
over and delivered, upon written request, to, the holders of Senior and Senior
Subordinated Debt as their interests may appear or their Representative under
the indenture or other agreement (if any) pursuant to which such Senior and
Senior Subordinated Debt may have been issued, as their respective interests may
appear, for application to the payment of all Obligations with respect to Senior
and Senior Subordinated Debt remaining unpaid to the extent necessary to pay
such Obligations in full in accordance with their terms, after giving effect to
any concurrent payment or distribution to or for the holders of Senior and
Senior Subordinated Debt.

            With respect to the holders of Senior and Senior Subordinated Debt,
the Trustee undertakes to perform only such obligations on the part of the
Trustee as are specifically set forth in this Article 12, and no implied
covenants or obligations with respect to the holders of Senior and Senior
Subordinated Debt shall be read into this Indenture against the Trustee.  The
Trustee shall not be deemed to owe any fiduciary duty to the holders of Senior
and Senior Subordinated Debt, and shall not be liable to any such holders if the
Trustee shall pay over or distribute to or on behalf of Holders or the Company
or any other Person money or assets to which any holders of Senior and Senior
Subordinated Debt shall be entitled by virtue of this Article 12, except if such
payment is made as a result of the willful misconduct or gross negligence of the
Trustee.

SECTION 12.07.   NOTICE BY COMPANY.

            The Company shall promptly notify the Trustee and the Paying Agent
of any facts known to the Company that would cause a payment of any Obligations
with respect to the Securities to violate this Article, but failure to give such
notice shall not affect the subordination of the Securities to the Senior and
Senior Subordinated Debt as provided in this Article.

SECTION 12.08.   SUBROGATION.

            After all Senior and Senior Subordinated Debt is paid in full and
until the Securities are paid in full, Holders shall be subrogated (equally and
ratably with all other Indebtedness pari passu with the Securities) to the
rights of holders of Senior and Senior Subordinated Debt to receive
distributions applicable to Senior and Senior Subordinated Debt to the extent
that distributions otherwise payable to the holders have been applied to the
payment of Senior and Senior Subordinated Debt.  A distribution made under this
Article to holders of Senior and Senior Subordinated Debt that otherwise would
have been made to Holders is not, as between the Company and Holders, a payment
by the Company on the Securities.

SECTION 12.09.   RELATIVE RIGHTS.


                                        68 
<PAGE>



            This Article defines the relative rights of Holders and holders of
Senior and Senior Subordinated Debt.  Nothing in this Indenture shall:

            (1)  impair, as between the Company and Holders, the obligation of
      the Company, which is absolute and unconditional, to pay principal of and
      interest on the Securities in accordance with their terms;

            (2)  affect the relative rights of Holders and creditors of the
      Company other than their rights in relation to holders of Senior and
      Senior Subordinated Debt; or

            (3)  prevent the Trustee or any Holder from exercising its available
      remedies upon a Default or Event of Default, subject to the rights of
      holders and owners of Senior and Senior Subordinated Debt to receive
      distributions and payments otherwise payable to Holders.

            If the Company fails because of this Article to pay principal of or
interest on a Security on the due date, the failure is still a Default or Event
of Default.

SECTION 12.10.   SUBORDINATION MAY NOT BE IMPAIRED BY COMPANY.

            No right of any holder of Senior and Senior Subordinated Debt to
enforce the subordination of the Indebtedness evidenced by the Securities shall
be impaired by any act or failure to act by the Company or any Holder or by the
failure of the Company or any Holder to comply with this Indenture.

SECTION 12.11.   DISTRIBUTION OR NOTICE TO REPRESENTATIVE.

            Whenever a distribution is to be made or a notice given to holders
of Senior and Senior Subordinated Debt, the distribution may be made and the
notice given to their Representative.

            Upon any payment or distribution of assets of the Company referred
to in this Article 12, the Trustee and the Holders shall be entitled to rely
upon any order or decree made by any court of competent jurisdiction or upon any
certificate of such Representative or of the liquidating trustee or agent or
other Person making any distribution to the Trustee or to the Holders for the
purpose of ascertaining the Persons entitled to participate in such
distribution, the holders of the Senior and Senior Subordinated Debt and other
Indebtedness of the Company, the amount thereof or payable thereon, the amount
or amounts paid or distributed thereon and all other facts pertinent thereto or
to this Article 12.



                                        69 
<PAGE>



SECTION 12.12.   RIGHTS OF TRUSTEE AND PAYING AGENT.

            Notwithstanding the provisions of this Article 12 or any other
provision of this Indenture, the Trustee shall not be charged with knowledge of
the existence of any facts that would prohibit the making of any payment or
distribution by the Trustee, and the Trustee and the Paying Agent may continue
to make payments on the Securities, unless the Trustee shall have received at
its Corporate Trust Office at least five Business Days prior to the date of such
payment written notice of facts that would cause the payment of any Obligations
with respect to the Securities to violate this Article 12.  Only the Company or
a Representative may give the notice.  Nothing in this Article 12 shall impair
the claims of, or payments to, the Trustee under or pursuant to Section 6.07
hereof.

            The Trustee in its individual or any other capacity may hold Senior
and Senior Subordinated Debt with the same rights it would have if it were not
Trustee.  Any Agent may do the same with like rights.

SECTION 12.13.   AUTHORIZATION TO EFFECT SUBORDINATION.

            Each Holder of a Security by the Holder's acceptance thereof
authorizes and directs the Trustee on the Holder's behalf to take such action as
may be necessary or appropriate to effectuate the subordination as provided in
this Article 12, and appoints the Trustee to act as the Holder's
attorney-in-fact for any and all such purposes.

SECTION 12.14.   AMENDMENTS.

            The provisions of this Article 12 shall not be amended or modified
without the written consent of the holders of all Senior and Senior Subordinated
Debt.



                                        70 
<PAGE>



                               SIGNATURES



Dated as of _______________      TENET HEALTHCARE CORPORATION



                                 By:
                                    ----------------------------------
                                 Name:
                                 Title:
Attest:



___________________________      (SEAL)



Dated as of _______________      THE BANK OF NEW YORK, as
                                   Trustee



                                 By:
                                    ----------------------------------
                                 Name:
                                 Title:


Attest:


___________________________      (SEAL)



                                        71 
<PAGE>



                                                                     EXHIBIT A
                              (Face of Security)

                      ___% Exchangeable Subordinated Note
                             due __________, 2007
CUSIP:
No.                                                      $____________

                         TENET HEALTHCARE CORPORATION

promises to pay to
_________________________________________________________________________

or its registered assigns, the principal sum of ________________________________

Dollars on __________, 2007.


Interest Payment Dates:  _______ and __________, commencing __________, 1996


Record Dates:  ______ and __________ (whether or not a Business Day).


TENET HEALTHCARE CORPORATION

By: _________________________

Dated:  __________, 1995


(SEAL)

Trustee's Certificate of Authentication:

This is one of the Securities referred
to in the within-mentioned Indenture:


The Bank of New York, as Trustee

By: ___________________________
      Authorized Signatory


                                      A-1

<PAGE>



                        (Back of Security)

               ____% EXCHANGEABLE SUBORDINATED NOTE
                       due __________, 2007

            Capitalized terms used herein have the meanings assigned to them in
the Indenture (as defined below) unless otherwise indicated.

            1.  INTEREST.  Tenet Healthcare Corporation, a Nevada corporation
(the "COMPANY"), promises to pay interest on the principal amount of this
Security at the rate and in the manner specified below.

            The Company shall pay interest in cash on the principal amount of
this Security at the rate per annum of ____%.  The Company shall pay interest
semiannually in arrears on _______ and __________ of each year, commencing
__________, 1996 to Holders of record on the immediately preceding _______ and
__________, respectively, or if any such date of payment is not a Business Day
on the next succeeding Business Day (each an "INTEREST PAYMENT DATE").

            Interest shall be computed on the basis of a 360-day year comprised
of twelve 30-day months.  Interest shall accrue from the most recent date to
which interest has been paid or, if no interest has been paid, from the date of
the original issuance of the Securities.  To the extent lawful, the Company
shall pay interest on overdue principal at the rate of 1% per annum in excess of
the interest rate then applicable to the Securities; it shall pay interest on
overdue installments of interest (without regard to any applicable grace
periods) at the same rate to the extent lawful.

            2.  METHOD OF PAYMENT.  The Company shall pay interest on the
Securities (except defaulted interest) to the Persons who are registered Holders
of Securities at the close of business on the record date next preceding the
Interest Payment Date, even if such Securities are cancelled after such record
date and on or before such Interest Payment Date.  The Holder hereof must
surrender this Security to a Paying Agent to collect principal payments.  The
Company shall pay principal and interest in money of the United States that at
the time of payment is legal tender for payment of public and private debts.
Principal, premium, if any, and interest shall be payable at the office or
agency of the Company maintained for such purpose within the City and State of
New York or, at the option of the Company, payment of interest may be made by
check mailed to the Holder's registered address.  Notwithstanding the foregoing,
all payments with respect to Securities the Holders of which have given wire
transfer instructions, on or before the relevant record date, to the Paying
Agent shall be made by wire transfer of immediately available funds to the
accounts specified by such Holders.



                                      A-2

<PAGE>



            3.  PAYING AGENT AND REGISTRAR.  Initially, the Trustee shall act
as Paying Agent and Registrar.  The Company may change any Paying Agent or
Registrar or co-registrar without prior notice to any Holder.  The Company and
any of its Subsidiaries may act in any such capacity.

            4.  INDENTURE.  The Company issued the Securities under an
Indenture, dated as of __________, 1995 (the "INDENTURE"), between the Company
and the Trustee.  The terms of the Securities include those stated in the
Indenture and those made part of the Indenture by reference to the Trust
Indenture Act of 1939, as amended (15 U.S. Code Sections 77aaa-77bbbb) (the 
"TIA") as in effect on the date of the Indenture.  The Securities are subject 
to all such terms, and Holders are referred to the Indenture and such act for a
statement of such terms.  The terms of the Indenture shall govern any
inconsistencies between the Indenture and the Securities.  The Securities are
unsecured general obligations of the Company.  The Securities are limited to
$___________ in aggregate principal amount.

            5.  OPTIONAL REDEMPTION.  On or after ___________, 1997, the
Company may redeem all or any portion of the Securities at a redemption price
(expressed as a percentage of the principal amount thereof), as set forth in the
immediately succeeding paragraph, plus accrued and unpaid interest, if any, to
the redemption date (subject to the right of the Holders of record on a Record
Date to receive interest due on an Interest Payment Date that is on or prior to
such Redemption Date); provided, however, that the Securities are redeemable
prior to _______________, 1998 only if, for a period of twenty consecutive
trading days, the last reported sale price for Vencor Common Shares shall have
exceed 150% of the Market Price then in effect.

            The redemption price as a percentage of the principal amount shall
be as follows, if the Securities are redeemed during the 12-month period
beginning ______________ of the following years:



        YEAR                      PERCENTAGE
        ----                      ----------

        1997....................... _____%
        1998....................... _____%
        1999....................... _____%
        2000....................... _____%
        2001....................... _____%
        2002 and thereafter........ _____%

            6.  MANDATORY REDEMPTION.  Subject to the Company's obligation to
make an offer to repurchase Securities under certain circumstances pursuant to
Section 3.07 of the Indenture (as described in paragraph 6 below), the Company
shall have no mandatory redemption or sinking fund obligations with respect to
the Securities.


                                      A-3

<PAGE>



            7.  REPURCHASE AT OPTION OF HOLDER.  If there is a Change of
Control Triggering Event, the Company shall offer to repurchase on the Change of
Control Payment Date all outstanding Securities at 101% of the aggregate
principal amount thereof plus accrued and unpaid interest thereon to the Change
of Control Payment Date.  Holders that are subject to an offer to purchase shall
receive a Change of Control Offer from the Company prior to any related Change
of Control Payment Date and may elect to have such Securities purchased by
completing the form entitled "Option of Holder to Elect Purchase" appearing
below.

            8.  SUBORDINATION.  The Securities are subordinated to Senior and
Subordinated Debt (as defined in the Indenture), which includes any Indebtedness
of the Company that is not expressly pari passu with or subordinated to the
Securities and all Obligations (as defined in the Indenture) of the Company with
respect thereto.  To the extent provided in the Indenture, Senior and
Subordinated Debt must be paid, in cash, cash equivalents or otherwise in a
manner satisfactory to the holders of Senior and Subordinated Debt, before the
Securities may be paid.  The Company agrees, and each Holder by accepting a
Security consents and agrees, to the subordination provided in the Indenture and
authorizes the Trustee to give it effect.

            9.    NOTICE OF REDEMPTION.  Notice of redemption shall be mailed
at least 30 days but not more than 60 days before the redemption date to each
Holder of Securities to be redeemed at its registered address.  Securities may
be redeemed in pat but only in whole multiples of $1,000, unless all of the
Securities held by a Holder are to be redeemed.  On and after the redemption
date, interest ceases to accrue on Securities or portions of them called for
redemption.

            10.  EXCHANGE RIGHTS.  Subject to the provisions of the Indenture,
the holder of this Security has the right, at his option, at any time or from
time to time on or after September 28, 1997 until and including, but not after
the close of business on, the date of final maturity of this Security (except
that, in case this Security or a portion hereof shall be called for redemption
and the Company shall not thereafter default in making due provision for the
payment of the redemption price, such right shall terminate with respect to this
Security or such portion hereof at the close of business on the last business
day preceding the date fixed for redemption or, in case this Security or a
portion hereof shall be called for redemption in accordance with Section 11.11
of the Indenture and the Company shall not thereafter default in making due
provision for the payment of the redemption price, such right shall terminate
with respect to this Security or such portion hereof at the close of business on
the last business day preceding the fifteenth day after the mailing of the
notice of redemption), to exchange the principal of this Security, or any
portion thereof which is $1,000 or a multiple of $1,000, into fully paid and
non-assessable Vencor Common Shares, as said shares shall be constituted at the
date of exchange (or such other securities or property or cash as shall be


                                      A-4

<PAGE>



added to such Vencor Common Shares or as such Vencor Common Shares shall have
been changed into as provided in the Indenture), at the Exchange Rate of
____________ Vencor Common Shares (or such other securities, property or cash)
for each $1,000 principal amount of the Securities (the "Exchange Rate") or at
the adjusted Exchange Rate in effect at the date of exchange if an adjustment
has been made, determined as provided in the Indenture, upon surrender of this
Security to the Company at the office or agency of the Company maintained for
the purpose in the Borough of Manhattan, The City of New York, together with a
fully executed notice substantially in the form entitled "Exchange Notice"
appearing below that the holder elects so to exchange this Security (or any
portion hereof which is an integral multiple of $1,000); provided that the
Company may, in lieu of delivering Vencor Common Shares in exchange for this
Security, elect to pay the holder hereof an amount in cash equal to the Market
Price (as of the date of receipt at such office or agency of such notice of
exchange) as defined in the Indenture of such Vencor Common Shares into which
this Security (or any portion hereof which is an integral multiple of $1,000
which the holder elects to exchange) is exchangeable, plus any securities,
property or cash theretofore apportioned to such Vencor Common Shares, subject
to certain conditions as more fully described in the Indenture. Except as
expressly provided in the Indenture, no payment or adjustment shall be made on
account of interest accrued on this Security (or portion thereof) so exchanged
or on account of any dividend or distribution on any such shares of common stock
of Vencor Power Company issued upon exchange.  If so required by the Company or
the Trustee, this Security, upon surrender for exchange as aforesaid, shall be
duly endorsed by, or be accompanied by instruments of transfer, in form
satisfactory to the Company, duly executed by, the holder or by his duly
authorized attorney.  The Exchange Rate from time to time in effect is subject
to adjustment as provided in the Indenture.  No fractional interest in Vencor
Common Shares (or other securities) will be issued on exchange, but an
adjustment in cash will be made for any fractional interest as provided in the
Indenture.

            11. DENOMINATIONS, TRANSFER, EXCHANGE.  The Securities are in
registered form without coupons, and in denominations of $1,000 and integral
multiples of $1,000.  The transfer of Securities may be registered and
Securities may be exchanged as provided in the Indenture.  The Registrar and the
Trustee may require a Holder, among other things, to furnish appropriate
endorsements and transfer documents and to pay any taxes and fees required by
law or permitted by the Indenture.  The Registrar need not exchange or register
the transfer of any Securities between a record date and the corresponding
Interest Payment Date.

            12.  PERSONS DEEMED OWNERS.  Prior to due presentment to the
Trustee for registration of the transfer of this Security, the Trustee, any
Agent and the Company may deem and treat the Person in whose name this Security
is registered as its absolute owner for the purpose of receiving payment of


                                      A-5

<PAGE>



principal of, premium, if any, and interest on this Security and for all other
purposes whatsoever, whether or not this Security is overdue, and neither the
Trustee, any Agent nor the Company shall be affected by notice to the contrary.
The registered Holder of a Security shall be treated as its owner for all
purposes.

            13.  AMENDMENT, SUPPLEMENT AND WAIVERS.  Except as provided in the
next succeeding paragraphs, the Indenture or the Securities may be amended or
supplemented with the consent of the Holders of at least a majority in principal
amount of the Securities then outstanding (including consents obtained in
connection with a tender offer or exchange offer for Securities) and any
existing default or compliance with any provision of the Indenture or the
Securities may be waived with the consent of the Holders of a majority in
principal amount of the then outstanding Securities (including consents obtained
in connection with a tender offer or exchange offer for Securities).

            Without the consent of each Holder affected, an amendment or waiver
may not (with respect to any Security held by a non-consenting Holder of
Securities):  (i) reduce the principal amount of Securities whose Holders must
consent to an amendment, supplement or waiver, (ii) reduce the principal of or
change the fixed maturity of any Security, (iii) reduce the rate of or change
the time for payment of interest on any Security, (iv) make any change regarding
the exchange rights set forth in Article 11 of the Indenture other than to
increase the Exchange Rate, (v) waive a Default or Event of Default in the
payment of principal of or premium, if any, or interest on the Securities,
(except a rescission of acceleration of the Securities by the Holders of at
least a majority in aggregate principal amount thereof and a waiver of the
payment default that resulted from such acceleration), (vi) make any Security
payable in money other than that stated in the Securities, (vii) make any change
in the provisions of the Indenture relating to waivers of past Defaults or the
rights of Holders of Securities to receive payments of principal of or premium,
if any, or interest on the Securities or (viii) make any change in the foregoing
amendment and waiver provisions.

            Notwithstanding the foregoing, without the consent of any Holder of
Securities, the Company and the Trustee may amend or supplement the Indenture or
the Securities to cure any ambiguity, defect or inconsistency, to provide for
uncertificated Securities in addition to or in place of certificated Securities,
to provide for the assumption of the Company's obligations to Holders of the
Securities in the case of a merger, consolidation or sale of assets, to make any
change that would provide any additional rights or benefits to the Holders of
the Securities or that does not adversely affect the legal rights under the
Indenture of any such Holder, or to comply with requirements of the Securities
and Exchange Commission (the "COMMISSION") in order to effect or maintain the
qualification of the Indenture under the TIA.



                                      A-6

<PAGE>



            14.  DEFAULTS AND REMEDIES.  Events of Default under the Indenture
include:  (i) a default for 30 days in the payment when due of interest on the
Securities; (ii) a default in payment when due of the principal of or premium,
if any, on the Securities, at maturity or otherwise; (iii) a failure by the
Company to comply with the provisions described under the covenant "Change of
Control;" (iv) a failure by the Company for 60 days after notice to comply with
any of its other agreements in the Indenture or the Securities; (v) any default
that occurs under any mortgage, indenture or instrument under which there may be
issued or by which there may be secured or evidenced any Indebtedness for money
borrowed by the Company or any of its Significant Subsidiaries (or the payment
of which is Guaranteed by the Company or any of its Significant Subsidiaries)
whether such Indebtedness or Guarantee exists on the date of the Indenture, or
is created after the date of the Indenture, which default (a) constitutes a
Payment Default or (b) results in the acceleration of such Indebtedness prior to
its express maturity and, in each case, the principal amount of any such
Indebtedness, together with the principal amount of any other such Indebtedness
under which there has been a Payment Default or that has been so accelerated,
aggregates $25.0 million or more; (vi) failure by the Company or any of its
Significant Subsidiaries to pay a final judgment or final judgments aggregating
in excess of $25.0 million entered by a court or courts or competent
jurisdiction against the Company or any of its Significant Subsidiaries if such
final judgment or judgments remain unpaid or undischarged for a period (during
which execution shall not be effectively stayed) of 60 days after their entry;
(vii) certain events of bankruptcy or insolvency with respect to the Company or
any of its Significant Subsidiaries; and (viii) a failure by the Company to make
any exchange of Vencor Common Shares for any Security in accordance with the
terms of the Indenture.  If any Event of Default occurs and is continuing, the
Trustee or the Holders of at least 25% in aggregate principal amount of the then
outstanding Securities by written notice to the Company and the Trustee, may
declare all the Securities to be due and payable immediately (plus, in the case
of an Event of Default that is the result of willful actions (or inactions) by
or on behalf of the Company intended to avoid prohibitions on redemptions of the
Securities contained in the Indenture or the Securities, an amount of premium
applicable pursuant to the Indenture).  Notwithstanding the foregoing, in the
case of an Event of Default arising from certain events of bankruptcy or
insolvency with respect to the Company or any of its Significant Subsidiaries,
all outstanding Securities shall become due and payable without further action
or notice.  Holders of the Securities may not enforce the Indenture or the
Securities except as provided in the Indenture.  Subject to certain limitations,
Holders of a majority in principal amount of the then outstanding Securities may
direct the Trustee in its exercise of any trust or power.  The Trustee may
withhold from Holders of the Securities notice of any continuing Default or
Event of Default (except a Default or Event of Default relating to the payment
of principal or interest) if it determines that withholding notice is in such
Holders' interest.



                                      A-7

<PAGE>



            The Holders of not less than a majority in aggregate principal
amount of the Securities then outstanding by written notice to the Trustee may
on behalf of the Holders of all of the Securities waive any existing Default or
Event of Default and its consequences under the Indenture except a continuing
Default or Event of Default in the payment of interest or premium on, or the
principal of, the Securities.

            The Company is required to deliver to the Trustee annually a
statement regarding compliance with the Indenture, and the Company is required
upon becoming aware of any Default or Event of Default, to deliver to the
Trustee a statement specifying such Default or Event of Default.

            The above description of Events of Default and remedies is qualified
by reference, and subject in its entirety, to the more complete description
thereof contained in the Indenture.

            15.  RESTRICTIVE COVENANTS.  The Indenture imposes certain
limitations on the ability of the Company and its Subsidiaries to enter into
certain mergers and consolidations.

            16.  TRUSTEE DEALINGS WITH COMPANY.  The Trustee under the
Indenture, in its individual or any other capacity, may make loans to, accept
deposits from, and perform services for the Company or its Affiliates, and may
otherwise deal with the Company or its Affiliates, as if it were not Trustee.

            17.  NO PERSONAL LIABILITY OF DIRECTORS, OFFICERS, EMPLOYEES AND
SHAREHOLDERS.  No director, officer, employee, incorporator or shareholder of
the Company, as such, shall have any liability for any obligations of the
Company under the Securities, the Indenture or for any claim based on, in
respect of, or by reason of, such obligations or their creation.  Each Holder by
accepting a Security waives and releases all such liability.  The waiver and
release are part of the consideration for the issuance of the Securities.  Such
waiver may not be effective to waive liabilities under the federal securities
laws and it is the view of the Commission that such a waiver is against public
policy.

            18.  AUTHENTICATION.  This Security shall not be valid until
authenticated by the manual signature of the Trustee or an authenticating agent.

            19.  ABBREVIATIONS.  Customary abbreviations may be used in the
name of a Holder or an assignee, such as:  TEN COM (= tenants in common), TEN
ENT (= tenants by the entireties), JT TEN (= joint tenants with right of
survivorship and not as tenants in common), CUST (= Custodian), and U/G/M/A (=
Uniform Gifts to Minors Act).



                                      A-8


<PAGE>



            20.  CUSIP NUMBERS.  Pursuant to a recommendation promulgated by
the Committee on Uniform Security Identification Procedures, the Company has
caused CUSIP numbers to be printed on the Securities and has directed the
Trustee to use CUSIP numbers as a convenience to Holders.  No representation is
made as to the accuracy of such numbers either as printed on the Securities and
reliance may be placed only on the other identification numbers placed thereon.

            The Company will furnish to any Holder upon written request and
without charge a copy of the Indenture.  Request may be made to:

            Tenet Healthcare Corporation
            2700 Colorado Avenue
            Santa Monica, California  90404
            Attention:  Treasurer 


                                      A-9

<PAGE>



                          ASSIGNMENT FORM


      To assign this Security, fill in the form below:  For value received (i)
or (we) hereby sell, assign and transfer this Security to

______________________________________________________________________________
           (Insert assignee's soc. sec. or tax I.D. no.)
______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________
       (Print or type assignee's name, address and zip code)

and do hereby irrevocably constitute and appoint _____________________________
Attorney to transfer this Security on the books of the Company with full power
of substitution in the premises.

______________________________________________________________________________

Date:  ______________

                                    Your Signature:___________________________
                                    (Sign exactly as your name appears on the
                                    face of this Security)

Signature Guarantee.*



__________

*Participant in a recognized Signature Guarantee Medallion Program (or other
signature guarantor acceptable to the Trustee).



                                     A-10

<PAGE>



                OPTION OF HOLDER TO ELECT PURCHASE


      If you want to elect to have all or any part of this Security purchased by
the Company pursuant to Section 3.07 of the Indenture, check the following box:

                             / / Section 3.07
                                (Change of Control)

      If you want to have only part of the Security purchased by the Company
pursuant to Section 3.07 of the Indenture, state the amount you elect to have
purchased:

$ _______________


Date:____________


                                    Your Signature:___________________________
                                    (Sign exactly as your name appears on the
                                    face of this Security)

Signature Guarantee.*



__________

*Participant in a recognized Signature Guarantee Medallion Program (or other
signature guarantor acceptable to the Trustee).


                                     A-11

<PAGE>



                     [FORM OF EXCHANGE NOTICE]

            To:  TENET HEALTHCARE CORPORATION

            The undersigned registered owner of this Security hereby:  (i)
irrevocably exercises the option to exchange this Security, or the portion
hereof below designated, for shares of common stock ($.25 par value per share)
of Vencor, Inc. or other securities, other property or cash in accordance with
the terms of the Indenture referred to in this Security and (ii) directs that
such shares, other securities, other property or cash deliverable upon the
exchange, together with any check in payment for fractional shares, and any
Security representing any unexchanged principal amount hereof, be issued and
delivered to the registered holder hereof unless a different name has been
indicated below.  If shares or other securities are to be delivered registered
in the name of a person other than the undersigned, the undersigned will pay all
transfer taxes payable with respect thereto.

                              Principal Amount to be
                                Exchanged:  (if less than all)

                              $_______________________________

Dated __________              ________________________________
                                     Signature

Notice:  The signature to this Exchange Notice must correspond with the name as
it appears upon the face of the written Security in every particular, without
alteration, or enlargement or any change whatsoever.

Fill in for registration of shares if to be delivered, and of Securities if to
be issued, otherwise than to and in the name of the registered holder.

                                    ___________________________
                                    Social Security or Other
                                    Taxpayer Identifying Number

______________________________
            (Name)

______________________________
      (Street Address)

______________________________
  (City, State and Zip Code)
  (Please print name and
  address)

                                     A-12


<PAGE>


                                 ESCROW AGREEMENT


            ESCROW AGREEMENT dated as of ___________, 1995 between Tenet
Healthcare Corporation, a Nevada corporation (the "Company"), and The Bank of
New York, as Escrow Agent (the "Escrow Agent").

            WHEREAS the Company has executed and delivered an Indenture (the
"Indenture") dated as of ___________, 1995, to The Bank of New York, trustee
(such trustee or such trustee's successor as such, the "Trustee");

            WHEREAS under and pursuant to the Indenture the Company may issue up
to _______________ principal amount of its ____% Exchangeable Subordinated Notes
Due 2007 (the "Notes");

            WHEREAS, pursuant and subject to the terms of the Notes and the
Indenture, the Notes are exchangeable at the option of the holder thereof for
shares of common stock, $.25 par value, of Vencor, Inc. ("Vencor Common Stock")
(or such other securities, property or cash as may be deliverable upon exchange
pursuant to the Indenture) at any time or from time to time on or after
September 28, 1997, and prior to maturity of the Notes, unless previously
redeemed, at the exchange rate (the "Exchange Rate") of ______ shares of Vencor
Common Stock per $1,000 principal amount of Notes, subject to adjustment as
provided in the Indenture and subject to the Company's right to pay cash equal
to the Market Price of the shares of Vencor Common Stock for which such Notes
are exchangeable in lieu of delivery of such shares.  The Notes will be
exchangeable prior to September 28, 1997 only in the event of a merger,
consolidation or liquidation of Vencor, Inc. pursuant to which all shares of
Vencor Common Stock held by the Escrow Agent are converted into or exchanged for
cash or other securities registered under the Securities Act; and

            WHEREAS, pursuant to the Indenture the Company is obligated to
deposit with the Escrow Agent certificates representing up to 8,301,067 shares
of Vencor Common Stock (the "Vencor Common Shares");

            NOW, THEREFORE, in consideration of the mutual covenants herein
contained and in order to set forth the terms upon which the Vencor Common
Shares deposited with the Escrow Agent by the Company for delivery upon exchange
of the Notes and all other property held by the Escrow Agent hereunder shall be
held and dealt with by the Escrow Agent and its successors as such, the Company
and the Escrow Agent hereby agree as follows:


<PAGE>


SECTION 1(a).  Deposit

            The Company, simultaneously with the execution and delivery of this
Agreement, is delivering to the Escrow Agent, irrevocably except as provided in
Section 7 hereof, to be held by the Escrow Agent hereunder a certificate or
certificates, registered in the name of the Escrow Agent or its agent or
nominee, representing 8,301,067 shares of Vencor Common Stock.  The Company
represents and warrants that it has good and lawful title to such shares, that
such shares are fully paid and non-assessable, and that such shares are
delivered free and clear of any liens, claims, charges and encumbrances.  The
Escrow Agent hereby acknowledges receipt of such certificate or certificates for
8,301,067 shares of Vencor Common Stock.

             The Company and any Permitted Transferee (as defined in Section
1(b)) and the Escrow Agent recognize that the holders of the Notes have an
interest in the powers conferred on the Escrow Agent under this Agreement, and,
except as provided in Section 8 hereof, such powers may not be revoked or
modified without the consent of the holders of at least two-thirds in principal
amount of the Notes at the time outstanding; PROVIDED that no revocation or
modification shall change the right to exchange any Notes for Vencor Common
Shares and other Escrowed Property (as defined below) at the Exchange Rate and
upon the terms set forth in Article 11 of the Indenture or reduce the aforesaid
percentage of Notes the holders of which are required to consent to any
revocation or modification, without the consent of all the holders of all Notes
then outstanding.

            The Vencor Common Shares received by the Escrow Agent and retained
for the benefit of the holders from time to time of the Notes, together with
such additional shares of Vencor Common Stock and such other securities, cash
and other property as may be received and retained by the Escrow Agent in
accordance with this Agreement, are herein sometimes referred to as the
"Escrowed Property".  Subject to the provisions of Section 9(c) hereof, the
Escrow Agent shall cause any cash dividends on Escrowed Property and any
payments with respect to United States federal, state and local income tax which
the Company or any Permitted Transferee, is entitled to receive under Sections
11.05 or 11.13, respectively, of the Indenture to be paid to the Company or such
Permitted Transferee, as the case may be.


SECTION 1(b).  Sale and Transfer

            The Company may at any time and from time to time in its sole
discretion, sell or transfer all or any part of its right, title and interest in
the Vencor Common Shares to any


                                        2 
<PAGE>


wholly-owned subsidiary of the Company or any partnership all of the general
partners and limited partners of which are wholly-owned subsidiaries of the
Company (any of the foregoing are hereinafter referred to as a "Permitted
Transferee"); PROVIDED that (i) such Vencor Common Shares so sold or
transferred shall remain subject to the terms and conditions of this Agreement
and the Indenture; (2) any such Permitted Transferee must expressly agree in
writing to become bound by the terms and conditions of this Agreement as such
Agreement may be amended from time to time as though such Permitted Transferee
were a party hereto; (3) the Company shall notify the Escrow Agent in writing at
the time of any such sale or transfer as to the number of Vencor Common Shares
so transferred to such Permitted Transferee; and (4) such sale or transfer shall
be in compliance with federal and all applicable state and foreign securities
laws.  Notwithstanding any such sale or transfer, except as otherwise provided
herein, the Company shall remain liable to perform all of its duties and
obligations hereunder.


SECTION 2.  Covenant by Escrow Agent

            The Escrow Agent shall hold the Vencor Common Shares and all other
Escrowed Property received by it pursuant to this Agreement for the purposes and
upon the terms and conditions set forth in the Indenture and this Agreement.


SECTION 3.    Notification of Adjustment of Exchange Rate; Exchange of Notes

            The Company will notify the Escrow Agent in writing forthwith upon
any adjustment of the Exchange Rate, and will, upon request, notify the Escrow
Agent in writing of the Market Price of the Vencor Common Shares (or per unit of
any other property which is part of the Escrowed Property) as of any relevant
date for the purpose of computing cash adjustments in respect of fractional
interests.  The Escrow Agent shall be under no duty or responsibility with
respect to any such notice except to exhibit such notice from time to time to
any holder of Notes requesting inspection thereof.

            Upon surrender to the Escrow Agent of any Note (or a principal
portion thereof which is an integral multiple of $1,000) for exchange in
accordance with the terms thereof and of the Indenture, the Escrow Agent shall
promptly (i) cause to be delivered, to or on the order of the person for whose
account such Note (or portion) was so surrendered for exchange, a certificate or
certificates representing the number of full shares of Vencor Common Shares or
other securities, together with


                                        3 
<PAGE>


payment of any cash adjustment in respect of any fractional interest in shares
or other securities, and such additional cash or other property, which the
holder or holders of such Note (or portion thereof) shall be entitled to receive
in accordance with the terms hereof and thereof, (ii) deliver to the Trustee the
Note so exchanged, and (iii) if only a portion of said Note is exchanged, obtain
from the Trustee and deliver to or on the order of the person for whose account
the Note was surrendered for exchange a new Note or Notes for the principal
amount thereof not exchanged; PROVIDED that if the Company elects to make a
cash payment in lieu of exchange of Vencor Common Shares pursuant to Section
11.14 of the Indenture and if sufficient funds are first deposited with the
Escrow Agent by the Company, the Escrow Agent shall pay to the holder of the
Notes so surrendered an amount in cash equal to the value of Vencor Common
Shares for which such Notes are exchangeable (based on the Market Price on the
date of receipt by the Escrow Agent of the notice of exchange delivered by the
holder of Notes pursuant to Section 11.02 of the Indenture).

            In any case in which Section 11.04 of the Indenture shall require
that an adjustment of the Exchange Rate be made immediately following a record
date, the Escrow Agent may defer delivering to the holder of any Note
surrendered for exchange after such record date the additional securities and
other property deliverable upon such exchange as a result of such adjustment
until such additional securities and other property have been delivered to the
Escrow Agent; and, in lieu of the additional securities and other property the
delivery of which is so deferred, the Escrow Agent shall deliver to such holder
appropriate evidence (determined in the sole discretion of the Escrow Agent) of
the right to receive such additional securities and other property.


SECTION 4.    Division of Certificates; Payment of Taxes, Fees and Charges, and
              Cash Adjustments; Payment of Fractional Interest

            The Company and any Permitted Transferee shall make, execute and
deliver or cause to be made, executed and delivered any and all such instruments
and assurances, and take all such further action, as may be reasonably necessary
or proper to carry out the intention of or to facilitate the performance of the
terms of this Agreement or to secure the rights and remedies hereunder of the
holders of the Notes.  The Company shall pay (i) any and all documentary, stamp,
transfer or similar taxes that may be payable in respect of the deposit of the
Vencor Common Shares, and the transfer or delivery of the Escrowed Property to
holders of Notes upon exchange thereof, PROVIDED that the Company


                                        4 
<PAGE>


shall not be obligated to pay any withholding taxes payable by holders of such
Notes due to the exchange thereof; (ii) any income or other taxes incurred by
the Escrow Agent in its capacity as such for any reason (except for payment or
accrual of its own fees); (iii) all reasonable, out-of-pocket fees or charges of
the Escrow Agent in connection with or arising out of this Agreement, the
Indenture or any exchange of Notes in accordance with the terms hereof and
thereof; (iv) all cash adjustments in respect of fractions of shares of Vencor
Common Stock or other fractional units of property which the holders of Notes
may be entitled to receive upon exchange thereof (after giving effect to moneys
received by the Escrow Agent from the sale of Escrowed Property for the purpose
of paying for such fractional interests); and (v) cash in an amount equal to any
losses on investments made pursuant to Section 6 of this Agreement to the extent
necessary to maintain on deposit with the Escrow Agent funds (investment
securities held pursuant to Section 6 being valued as funds at the outstanding
principal balance thereof) equal from time to time to the aggregate amount of
cash apportioned to all Vencor Common Shares at each such time deliverable upon
exchange of all Notes then outstanding.  Notwithstanding the foregoing, the
Company shall not be required to pay any tax which may be payable in respect of
any transfer involved in the delivery, upon an exchange of Notes, of Escrowed
Property in a name other than that in which the Notes so exchanged were
registered, and no such transfer or delivery shall be made unless and until the
person requesting such transfer has paid to the Company or the Escrow Agent the
amount of any such tax or has established, to the satisfaction of the Company
and the Escrow Agent, that such tax has been paid.

            The Escrow Agent shall be authorized to, and, at the Company's
direction, shall, sell any Vencor Common Shares or other securities which are
part of the Escrowed Property held by it in order to obtain the funds necessary,
or anticipated by it to be necessary, for payment of fractional interests with
respect to Notes delivered to it for exchange; PROVIDED that after any such
sale, the number of shares of Vencor Common Shares and any such other securities
remaining on deposit with the Escrow Agent shall be sufficient to allow the
exchange of all the then outstanding Notes for shares of Vencor Common Stock and
other Escrowed Property on the basis of the then applicable Exchange Rate.  If a
sale of Vencor Common Shares to make cash payments for fractional shares is not
permitted, then the Company shall furnish additional moneys to permit such
payment in accordance with Section 11.03 of the Indenture.


                                        5 
<PAGE>


SECTION 5.    Voting of Escrowed Property

            The Company and any Permitted Transferee shall each have the full
and unqualified right and power to exercise any right to vote, or give consents
or take other action in respect of, its respective share of the Vencor Common
Shares or other securities which are part of the Escrowed Property, and the
Escrow Agent shall have no such rights.

            The Escrow Agent or its nominee shall from time to time deliver, or
cause to be delivered, to the Company or any Permitted Transferee, as the case
may be, such proxies, duly executed and in the form required by applicable law,
as may be necessary or appropriate to permit the Company or such Permitted
Transferee, as the case may be, to vote on each matter submitted to the holders
of shares of Vencor Common Stock or other securities which are part of the
Escrowed Property.


SECTION 6.    Investment of Cash

            All cash received and retained by the Escrow Agent under Section
11.05 of the Indenture shall, at the direction of the Company, be invested in
securities issued or guaranteed by the United States of America or any agency or
instrumentality thereof, PROVIDED that such obligations shall mature by their
terms within 12 months following their purchase.


SECTION 7.    Distribution of Escrowed Property to Company or Permitted
              Transferee

            Subject to the provisions of Section 9(c) hereof, the Escrow Agent
shall cause any Escrowed Property which the Company or any Permitted Transferee
is entitled to receive under Section 11.05 of the Indenture to be delivered to
the Company or such Permitted Transferee.


SECTION 8.  Amendment or Modification of Agreement

            The Company and the Escrow Agent may by mutual accord cure any
ambiguity or correct or supplement any provision contained herein which may be
inconsistent with any other provision contained herein or with any provision of
the Indenture.  Otherwise, except with respect to an amendment which is for one
or more of the following purposes:


                                        6 
<PAGE>


            (1)  to evidence the succession of another corporation to the
Company and the assumption by any such successor of the covenants of the Company
herein contained;

            (2)  to add to the covenants of the Company, for the benefit of the
holders of the Notes, or to surrender any right or power herein conferred upon
the Company;

            (3)  to comply with the requirements of Section 11.10 of the
Indenture;

            (4)  to make any other provisions with respect to matters or
questions arising under this Agreement or the Indenture which shall not be
inconsistent with the provisions of this Agreement or the Indenture, provided
such action shall not materially adversely affect the interest of the holders of
the Notes; or

            (5)  to evidence the acceptance by a Permitted Transferee of its
obligations hereunder;

this Agreement may not be amended or modified at any time without the written
consent of the Escrow Agent, the written consent of the Company and the consent
of the holders of not less than two-thirds of the outstanding aggregate
principal amount of the Notes.  No amendment or modification shall change the
right to exchange any Notes for Vencor Common Shares and other Escrowed Property
at the Exchange Rate and upon the terms set forth in Article 11 of the Indenture
or reduce the aforesaid percentage of Notes the holders of which are required to
consent to any amendment or modification, without the consent of all the holders
of all Notes then outstanding.


SECTION 9.  Duties and Obligations of Escrow Agent

            (a)  The Escrow Agent shall not at any time be under any duty or
responsibility to any holder of Notes to determine whether any facts exist which
may require any adjustments of the Exchange Rate, or with respect to the nature
or extent of any such adjustment when made, or with respect to the method
employed in making such adjustment; and the Escrow Agent may conclusively rely
as to all such matters upon the notice furnished by the Company pursuant to
Section 3 hereof.  The Escrow Agent shall not be accountable with respect to the
validity or value (or the kind or amount) of any Vencor Common Shares, or of any
other securities or other property, which may at any time be delivered upon the
exchange of any Note; and the Escrow Agent makes no representation with respect
thereto.  The Escrow Agent shall not be responsible for any failure of the
Company or any Permitted


                                        7 
<PAGE>


Transferee to comply with any of its covenants contained in this Agreement or in
the Indenture.

            (b)  The Escrow Agent, either directly or through its nominee, shall
be under no duty or obligation to enforce, through the institution of legal
proceedings or otherwise, any of its rights as the record owner (either directly
or through its nominee) of the Vencor Common Shares or any other Escrowed
Property either to secure possession of any cash or other securities or other
property or otherwise to assert any rights or claims in the interest of any
holder of Notes, nor shall it be required to make independent inquiry as to any
matter but may rely upon such written notice pertaining to the Vencor Common
Shares or other securities or other property as it shall receive from the
Company, the Trustee or from the issuer of any of the securities held by it
hereunder; PROVIDED that if the Escrow Agent shall be furnished with
indemnity, in manner and form satisfactory to it, against losses or expenses
which may be sustained or incurred by it in taking such action, the Escrow Agent
shall take such action as may be specifically directed in writing by the
Company, but the Escrow Agent shall have the right to decline to follow any such
direction if it shall be advised by counsel that the actions so directed may not
be lawfully taken or if the Escrow Agent shall in good faith determine that such
action so directed would be unjustly prejudicial to the holders of Notes.

            (c)  The Escrow Agent shall be obligated to perform only such duties
as are herein specifically set forth.  The Escrow Agent shall not be liable for
any action taken, omitted or suffered by it in good faith and believed by it to
be authorized or within the discretion or rights or powers conferred upon it by
this Agreement, and may conclusively rely and shall be protected in acting or
refraining from acting in reliance upon advice of counsel (which need not
constitute an Opinion of Counsel) or upon any certificate, request or other
document believed by it to be genuine and to have been signed or presented by
the proper party or parties; PROVIDED that the Escrow Agent shall not make any
payment or deliver any Escrowed Property to the Company or any Permitted
Transferee until delivery to the Escrow Agent of an Officer's Certificate as to
compliance with the conditions precedent provided for in Section 11.05(h) of the
Indenture.  The Escrow Agent shall not be required to take any action hereunder
which, in the opinion of its counsel, will be contrary to law.

            In the event the Escrow Agent is instructed by the Company to sell
any securities (including the Vencor Common Shares) that constitute Escrowed
Property, the Escrow Agent shall be entitled to an opinion of counsel (which
counsel is satisfactory to the Escrow Agent), to the effect that the


                                        8 
<PAGE>


proposed sale of securities will not violate any applicable United States
federal or state securities laws.


SECTION 10.  Sales and Tenders of Escrowed Property

            In the event that Article 11 of the Indenture requires or permits
the Company to direct the Escrow Agent to sell or tender its respective share of
Escrowed Property, the Escrow Agent shall sell or tender such Escrowed Property
in such manner as shall be set forth in written instructions concerning any such
sale or tender which are given by the Company by means of an Officer's
Certificate and shall remit the proceeds thereof as provided in such Officer's
Certificate.  Such Officer's Certificate shall demonstrate to the reasonable
satisfaction of the Escrow Agent that such sale or tender and such disposition
of proceeds is permitted under the Indenture.


SECTION 11.  Release or Sale of Excess Escrowed Property

            The Company and any applicable Permitted Transferee, upon demand by
the Company, shall be entitled at any time and from time to time, out of the
Escrowed Property held by the Escrow Agent, to such kind and amount of Escrowed
Property as shall be in excess of the kind and amount of Escrowed Property which
would be required for the exchange of all Notes then outstanding for the
Escrowed Property on the basis of the then applicable Exchange Rate and other
terms and provisions of the Indenture and this Agreement, and such excess shall,
upon delivery of the certificate provided for in the next following sentence, be
released to the Company or such Permitted Transferee or sold for the account of
the Company or such Permitted Transferee upon demand by the Company.  Upon
demanding any release or sale of Escrowed Property, the Company shall deliver to
the Escrow Agent an Officer's Certificate that shall (i) state the principal
amount of Notes then outstanding and the kind and amount of Escrowed Property
required for delivery to the Holders thereof upon exchange; (ii) state that the
release or sale of such kind and amount of Escrowed Property as so requested is
permitted by the provisions of this Section and the Indenture, (iii) demonstrate
to the reasonable satisfaction of the Escrow Agent that the Escrowed Property to
be released or sold would not be deliverable upon exchange of all Notes then
outstanding, and (iv) if the Company shall have directed the Escrow Agent to
sell any of such excess Escrowed Property, state that such sale is a bona fide
sale to a Person (as hereinafter defined) who is not an affiliate of the
Company.  Upon receipt of such Certificate from the Company, the Escrow Agent
shall, as promptly as possible, release to the Company or such Permitted
Transferee or sell, as


                                        9 
<PAGE>


the case may be, the kind and amount of Escrowed Property requested to be
released or sold as specified in such Certificate.

            The term "Person" as used herein means any individual, corporation,
partnership, joint venture, association, joint stock company, trust,
unincorporated organization or government or any agency or political subdivision
thereof.


SECTION 12.  Cash Dividends

            Promptly upon its receipt thereof, the Escrow Agent shall deliver to
the Company or any Permitted Transferee all cash dividends received with respect
to any Vencor Common Shares, to the extent that the Company or such Permitted
Transferee is entitled to receive such dividends pursuant to the terms of the
Indenture, in accordance with the terms of such Notes and of the Indenture.


SECTION 13.  Merger, etc., of the Company

            (a)  The Company hereby covenants and agrees that, upon any
consolidation or merger, or any transfer or lease of all or substantially all of
its assets other than a consolidation or merger in which the Company is the
continuing corporation, the rights and obligations of the Company under this
Agreement shall be expressly assumed, by a supplemental agreement satisfactory
in form to the Escrow Agent, executed and delivered to the Escrow Agent by the
Person formed by such consolidation, or with or into which the Company shall
have merged or to which the assets of the Company shall have been transferred or
leased.

            (b)  In the case of any consolidation or merger, or any transfer or
lease of all or substantially all of the Company's assets referred to in
subsection (a) hereof, and upon the execution and delivery to the Escrow Agent
of the supplemental agreement referred to therein by the successor or acquiring
Person, such successor or acquiring Person shall succeed to the rights and
obligations of and be substituted for the Company under this Agreement, with the
same effect as if such Person had been named herein as the Company, and in the
event of any such sale or conveyance, the Company (which term shall for this
purpose mean the Person named as the "Company" in the first paragraph of this
Agreement or any successor Person which shall theretofore have become such in
the manner described in this Section) shall be discharged from all obligations
and covenants under this Agreement and may (but need not) be dissolved and
liquidated. 


                                        10 
<PAGE>


SECTION 14.  Reliance on Information Supplied

            The Escrow Agent may rely on the contents of any Officer's
Certificate furnished hereunder and, in delivering any such certificate, the
Company may rely on information furnished to the Company by the Escrow Agent as
to the quantity and identity of Vencor Common Shares and other Escrowed Property
delivered to holders of Notes upon exchange thereof and on published information
as of the end of the preceding year (or such more recent date as of which such
information has been publicly announced by Vencor) as to matters concerning
Vencor Common Shares and Vencor.  The Escrow Agent will furnish on request to
the Company such information as to the Escrow Agent's holdings and as to
Escrowed Property delivered to Holders of Notes upon exchange thereof.


SECTION 15.  Expenses and Indemnification of the Escrow Agent

            The Company covenants and agrees to pay to the Escrow Agent from
time to time, and the Escrow Agent shall be entitled to, reasonable
compensation, and the Company will pay or reimburse the Escrow Agent upon its
request for all reasonable, out-of-pocket expenses, disbursements and advances
incurred or made by the Escrow Agent in accordance with any of the provisions of
this Agreement (including the reasonable, out-of-pocket compensation and the
expenses and disbursements of its counsel and of all persons not regularly in
its employ) except any such expense, disbursement or advance as may arise from
its gross negligence or bad faith.  The Company also covenants to indemnify the
Escrow Agent for, and to hold it harmless against, any loss, liability, claim,
cause of action or expense incurred without gross negligence or bad faith on the
part of the Escrow Agent and arising out of or in connection with its duties
under this Agreement.  The Trustee and the Holders of the Notes shall not be
liable for any expenses or compensation of the Escrow Agent and no charge shall
be made for such expenses or compensation against the Escrowed Property.


SECTION 16.  Resignation or Removal of the Escrow Agent

            (a)  The Escrow Agent may at any time resign by giving 60 days'
written notice of resignation to the Company and the Trustee.  The Company may
at any time remove the Escrow Agent by giving like written notice of removal to
the Escrow Agent and the Trustee.  The Holders of a majority in principal amount
of the Notes at the time outstanding may at any time remove the Escrow Agent.
If the Escrow Agent shall resign or be removed, a


                                        11 
<PAGE>


successor Escrow Agent, which in each case shall be a bank or trust company
having surplus and capital of at least $100,000,000 shall be appointed by the
Company by written instrument executed and delivered to the Escrow Agent and to
such successor Escrow Agent, a copy of which shall be delivered by the Company
to the Trustee.

            (b)  Any resignation or removal of the Escrow Agent and any
appointment of a successor Escrow Agent pursuant to any of the provisions of
this Agreement shall become effective upon acceptance of appointment by the
successor as provided in Section 17 hereof.


SECTION 17.  Acceptance by Successor Escrow Agent

            Any successor Escrow Agent appointed as provided in Section 16 of
this Agreement shall execute, acknowledge and offer to the Company and to its
predecessor Escrow Agent an instrument accepting such appointment hereunder, and
thereupon the resignation or removal of the predecessor Escrow Agent shall
become effective and such successor Escrow Agent, without any further act, deed
or conveyance shall become vested with all the right, title and interest to all
property held hereunder, and all other rights, powers, duties and obligations
hereunder, of such predecessor Escrow Agent; but nevertheless such predecessor
Escrow Agent shall forthwith deliver to such successor Escrow Agent physical
possession of the certificates evidencing the Vencor Common Shares and of all
other Escrowed Property, and such predecessor Escrow Agent shall, on the written
request of the Company or such successor Escrow Agent and upon payment of any
amounts then due it pursuant to the provisions of Section 15 hereof, execute and
deliver to such successor Escrow Agent an instrument transferring to such
successor Escrow Agent all right, title and interest hereunder in and to the
Vencor Common Shares and the other Escrowed Property, and all other rights and
powers hereunder, of such predecessor Escrow Agent.


SECTION 18.  Succession by Merger, etc.

            Any Person into which the Escrow Agent may be merged or converted or
with which it may be consolidated, or any Person resulting from any merger,
conversion or consolidation to which the Escrow Agent shall be a party, or any
Person succeeding to the business of the Escrow Agent, shall be the successor of
the Escrow Agent hereunder without the execution or filing of any paper or any
further act on the part of any of the parties hereto, provided that such
corporation shall be eligible under Section 16 hereof. 


                                        12 
<PAGE>


SECTION 19.  Termination of Agreement

            This Agreement shall terminate when the rights of all holders of
Notes under the Indenture to surrender Notes for exchange pursuant to Article 11
of the Indenture shall have expired or been terminated and when all other
obligations of the Company shall have been satisfied under this Agreement, which
termination or expiration and satisfaction shall be evidenced by an Officer's
Certificate of the Company to that effect.  Upon termination of this Agreement
pursuant to this Section 19, any Vencor Common Shares and any other Escrowed
Property remaining in the hands of the Escrow Agent hereunder which are not
required for the exchange of Notes previously duly surrendered and duly accepted
for the exchange shall be delivered first to the Permitted Transferee to the
extent of its interest therein, and second to the Company.


SECTION 20.  Notices

            Any notice or communication shall be sufficiently given if in
writing and delivered in person or mailed by first-class mail, postage prepaid,
addressed as follows:

            If to the Company:

              Scott M. Brown, Esq.
              Senior Vice President,
              Secretary and General Counsel
              Tenet Healthcare Corporation
              2700 Colorado Avenue
              Santa Monica, California 90404
              Telephone:  (310) 998-8000

            If to the Escrow Agent:

              The Bank of New York
              101 Barclay Street
              New York, New York 10286

            The Company or the Escrow Agent by notice to the other may designate
additional or different addresses for subsequent notices of communications.

            Any notice or communication mailed to a holder of Notes shall be
mailed by first-class mail, postage prepaid, to such holder at such holder's
address as it appears on the registration books of the Registrar for the Notes
and shall be sufficiently given to such holder if so mailed within the time
prescribed. 


                                        13 
<PAGE>


            Failure to mail notice or communication to a holder of Notes or any
defect in it shall not affect its sufficiency with respect to other holders of
Notes.  If a notice or communication is mailed in the manner provided above, it
is duly given, whether or not the addressee receives it.


SECTION 21.  Benefits of Agreement

            Nothing in this Agreement or the Notes, expressed or implied, shall
give or be construed to give any person, firm or corporation, other than the
parties hereto, the holders of Notes as such and the Trustee as such holders'
representative, any legal or equitable right, remedy or claim under any
covenant, condition or provision herein contained, all the covenants, conditions
and provisions contained in this Agreement being for the sole benefit of the
parties hereto, the holders of the Notes as such and the Trustee as such
holders' representative.


SECTION 22.  Headings

            The headings contained in this Agreement are for convenience of
reference only and shall have no effect on the interpretation or operation of
this Agreement.


SECTION 23.  Definitions

            Terms defined in the Indenture and not otherwise defined herein
have, as used herein, the respective meanings provided for therein.


SECTION 24.  Choice of Laws

            This Agreement shall be construed in accordance with the law of the
State of New York.



                                        14 
<PAGE>


            IN WITNESS WHEREOF, the parties hereto have caused this Agreement to
be executed and their respective corporate seals to be affixed hereto by duly
authorized officers as of the day and year first above written.


                              TENET HEALTHCARE CORPORATION



                              By_______________________________
                                 Title:


                              THE BANK OF NEW YORK, as Escrow
                                Agent



                              By_______________________________
                                 Title:


                                        15 

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                                                                     EXHIBIT 8.1
 
                              [Skadden Letterhead]
 
Tenet Healthcare Corporation
2700 Colorado Avenue
Santa Monica, CA 90404
 
              Re: Tenet Healthcare Corporation
                 Registration Statement on Form S-3
                 File No. 33-63451
                 ------------------------------------------------
 
Ladies and Gentlemen:
 
    We  have acted as special counsel  to Tenet Healthcare Corporation, a Nevada
corporation (the "Company"), in connection  with the contemplated offering  (the
"Offering")   of  $350  million  aggregate   principal  amount  of  Exchangeable
Subordinated Notes due 2005 exchangeable for  shares of common stock of  Vencor,
Inc. (the "Exchangeable Subordinated Notes"). This opinion is being furnished in
accordance  with the requirements of Item  601(b)(8) of Regulation S-K under the
Securities Act of 1933,  as amended (the "Act").  Capitalized terms used  herein
and  not  otherwise  defined  have  the respective  meanings  set  forth  in the
Registration Statement on  Form S-3  relating to  the Exchangeable  Subordinated
Notes   initially  filed  with  the  Securities  and  Exchange  Commission  (the
"Commission") on October 17, 1995 (as  thereafter amended from time to time  and
together with all exhibits thereto, the "Registration Statement").
 
    Our  opinion is based upon an examination of the Registration Statement, the
form of  the Exchangeable  Subordinated  Notes, the  Indenture, and  such  other
documents  as we have deemed necessary or appropriate as a basis for the opinion
set forth below. In our examination, we  have assumed the legal capacity of  all
natural  persons, the  genuineness of  all signatures,  the authenticity  of all
documents submitted to us as originals, the conformity to original documents  of
all  documents submitted to  us as certified,  conformed, or photostatic copies,
and the authenticity of the originals of  such copies. As to any facts  material
to  this opinion  that we  did not  independently establish  or verify,  we have
relied upon statements and representations of officers and other representatives
of the Company and  our opinion is  premised, in part, on  the veracity of  such
statements  and representations. We have also  assumed that the Offering will be
consummated in accordance  with the  description set forth  in the  Registration
Statement.
 
    In  rendering our opinion,  we have considered  the applicable provisions of
the Internal Revenue Code  of 1986, as  amended, Treasury regulations,  judicial
decisions,  administrative rulings,  and other  applicable authorities,  in each
case as in effect on the date hereof. The statutory provisions, regulations, and
interpretations on which this opinion is  based are subject to change, and  such
changes  could apply  retroactively. In  addition, because  there is  no precise
legal authority that addresses the Federal income tax treatment of  exchangeable
debt  instruments with characteristics similar  to the Exchangeable Subordinated
Notes, there can be  no assurances that the  Internal Revenue Service would  not
take a position contrary to the Federal income tax treatment of the Exchangeable
Subordinated Notes described in the Registration Statement.
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    Based  on the foregoing, we are of the opinion that, although the discussion
set forth in the section of the Registration Statement entitled "Certain Federal
Income Tax Consequences" does not purport to discuss all possible Federal income
tax  considerations  of  the  acquisition,  holding,  exchanging  or   otherwise
disposing  of the Exchangeable Subordinated  Notes, such discussion constitutes,
in all material respects, a fair and accurate summary of the Federal income  tax
consequences  that the likely to be material  to a purchaser of the Exchangeable
Subordinated Notes.
 
    Other than as  expressly stated above,  we express no  opinion on any  issue
relating  to the Company or to any investment therein or under any other law. We
are furnishing  this  opinion  to  you  solely  for  the  Company's  benefit  in
connection  with the Offering  and this opinion  is not to  be used, circulated,
quoted, or  otherwise referred  to for  any other  purpose without  our  written
permission.
 
    We  consent to the filing of this opinion as Exhibit 8.1 to the Registration
Statement and to the reference to  Skadden, Arps, Slate, Meagher & Flom  therein
under  the caption  "Legal Matters."  In giving this  consent, we  do not hereby
admit that we are within the category of persons whose consent is required under
Section 7 of the Act or the  rules or regulations of the Commission  promulgated
thereunder.
 
                                        Very truly yours,
 
                                        /s/ SKADDEN, ARPS, SLATE, MEAGHER & FLOM
 
                                        SKADDEN, ARPS, SLATE, MEAGHER & FLOM

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                                                                    EXHIBIT 23.2
 
                               AUDITORS' CONSENT
 
The Board of Directors
Tenet Healthcare Corporation
 
    We  consent to the  use of our  reports dated July  25, 1995 incorporated by
reference in  the  Registration  Statement  on  Form  S-3  of  Tenet  Healthcare
Corporation,  relating to  the consolidated  balance sheets  of Tenet Healthcare
Corporation and  subsidiaries as  of May  31,  1995 and  1994, and  the  related
consolidated  statements of operations, shareholders'  equity and cash flows for
each of the years in the three-year  period ended May 31, 1995, and the  related
schedule,  and to the reference  to our firm under  the heading "Experts" in the
prospectus. Our report on the 1994 consolidated financial statements refers to a
change in the method of accounting for income taxes.
 
                                          KPMG PEAT MARWICK LLP
 
   
Los Angeles, California
December 11, 1995
    


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