Document:

EX-10.9

 EXHIBIT 10.9 
 AMENDMENT NO. 2 TO 
 KINDRED DEFERRED COMPENSATION PLAN 

This is Amendment No. 2 (“Amendment”) to the Third Amendment and Restatement of the Kindred Deferred
Compensation Plan, as last amended and restated as of January 1, 2009 (the “Plan”), which Amendment shall be effective January 1, 2013. 

RECITALS 
  

	A.	Kindred Healthcare, Inc. (the “Company”) maintains the Plan and has reserved the right to amend the Plan in
Section 12.2 of the Plan. 

  

	B.	The Plan and the Internal Revenue Code require that deferral elections must be paid before the start of a calendar year in order to be effective, even for compensation,
like a bonus, that is paid after the end of the year to which the incentive pay relates (i.e., a bonus paid in February 2013, but which relates to the 2012 service year, can only be deferred with an election made before the 2012 service year
begins). 

  

	C.	Ambiguities have arise in Plan operations as to how to apply the deferral election timing rule, given that not all types of compensation are factually clear in the
Company’s payroll system as to which service period they relate, particularly with regard to compensation that is payable to employees of acquired companies. 

 

	D.	To simplify administration and minimize operational ambiguities, the Company wishes to re-define “Base Annual Salary.” Rather than defining it broadly as all
taxable pay other than certain specific performance-based compensation, but then in operations having to discern the specific taxable amounts paid to which a deferral election cannot be applied because of the separate Plan and Code restrictions on
the timing of deferral elections, by limiting deferral elections for 2013 and later years to regular base salary. 

  

	E.	The Plan shall continue to allow separate deferral elections with respect to Annual Short-Term Incentives, which phrase shall continue to apply solely to amounts paid
under the Company’s program called the “Amended and Restated Kindred Healthcare, Inc. Short-Term Incentive Plan” and not to amounts paid to employees of acquired companies under pre-acquisition or acquisition-related bonus or
incentive programs. 

 AMENDMENTS 

1. Section 1.5 of the Plan is hereby amended so that as amended it shall read in its entirety as follows: 

 

	 	1.5	 “Base Annual Salary” shall mean, for any Plan Year or part thereof
during which an Employee is eligible to make deferrals under this Plan, compensation received (or which would have been received, but for a pre-tax deduction taken pursuant to Code Sections 125 (flexible benefit plans),

	 	
402(a)(8) (salary redirection), 402(h)(1)(B) (simplified employee plan), 132(f) (qualified transportation expenses) and 403(b)) at the Participant’s regular base rate of pay for hours
actually worked and periods off work, such as vacation, sick, paid time off, jury duty, and bereavement. Bonuses, incentives, overtime, premium pay, shift differentials, or other non-periodic types of compensation are not included as Base Annual
Salary, and Base Annual Salary shall exclude all amounts payable for periods after a Termination of Employment in the nature of severance pay. 

 IN WITNESS WHEREOF, the Company has caused this Amendment No. 2 to be executed this 29th day of October, 2012. 

 

			
	KINDRED HEALTHCARE, INC.
		
	By 	 	/s/ Richard E. Chapman
	 Title:  Chief Administrative and Information
            Officer, and Executive Vice PresidentEX-10.49

 EXHIBIT 10.49 

 

					
	

	  		  	10350 Ormsby Park Place
		  		  	Suite 300
		  		  	Louisville, KY 40223
		  		  	T 502.357-9000
		  		  	F 502,357-9029

 January 29, 2013 
 Kindred Healthcare, Inc. 
 Kindred Healthcare Operating, Inc. 

680 South Fourth Street 
 Louisville, KY
40202-2612 
  

	 	Re:	Second Amended and Restated Master Lease Agreement Nos. 1, 2, 3 and 4, each dated April 27, 2007 and each by and among Ventas Realty, Limited Partnership, as
lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as tenant (as heretofore amended by that certain letter agreement dated May 23, 2012 (the “May 2012 Letter Agreement”) or otherwise amended or
modified, individually a “Master Lease” and collectively, the “Master Leases”) 

 Dear Ladies
and Gentlemen: 
 Reference is made to the Master Leases. Capitalized terms that are used herein and not otherwise defined shall
have the same meanings herein as in the Master Leases. 
 Pursuant to this letter and notwithstanding anything to the contrary
in the Master Leases, Lessor and Tenant hereby agree as follows: 
  

	 	1.	 With respect to each of the five “Terminating Leased Properties” (as defined in the May 2012 Letter Agreement) listed on Schedule A
hereto (each, a “Schedule A Property”), Tenant hereby elects to forego its rights under the Master Leases (including Section 40.3 thereof and the provisions of Section l(f) of the May 2012 Letter Agreement) to reimbursement of
operating deficits, and operating losses and expenses, during any Reimbursement Period that may apply to such Schedule A Property, so that, for all purposes of the Master Leases, if any Reimbursement Period is applicable to such Schedule A Property,
during such Reimbursement Period, (a) Tenant shall continue to be responsible for payment of all costs and expenses of continuing to comply with the applicable Master Lease as to such Schedule A Property and (b) the Base Rent applicable to
such Schedule A Property shall be payable in the manner set forth in Section 3.1 of the applicable Master Lease but with such Base Rent being automatically reduced to one-half (1/2) of the amount thereof that was allocable to such Schedule
A Property as of April 30, 2013. For the avoidance of doubt, with respect to any Terminating Leased Property that is not a Schedule A Property, Tenant shall continue to have

 January 29, 2013 
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 Kindred Healthcare Operating, Inc. 

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the right to elect for such Terminating Leased Property to receive reimbursement of Tenant’s operating deficits, if any, or to remain responsible for such operating deficits, if any, but
with a one-half (1/2) reduction in the Base Rent allocable to such Terminating Leased Property, in either case accordance with the applicable Master Lease and the provisions hereof. 

 

	 	2.	Paragraphs l(b)—(f) of the May 2012 Letter Agreement are hereby amended and restated in their entirety, and new subsections (g) and (h) are added
thereto, as follows: 

 (b) From time to time from and after the date of this letter, but in no event later than
June 15, 2013 (the “Transfer Notice Deadline”), Lessor may notify Tenant of its election to require that a Terminating Leased Property or Terminating Leased Properties identified by Lessor in its notice (each, a
“Transfer Notice”) be transferred and transitioned as provided in this letter; 
 (c) Each
Transfer Notice shall specify the date (subject to extension as described below, the applicable “Transfer Date”) on which such transfer and transition is to occur with respect to the identified Terminating Leased Property(ies),
which Transfer Date shall be not less than forty-five (45) days after Tenant’s receipt of the applicable Transfer Notice (provided, however, that (i) if the Transfer Date specified by Lessor in its Transfer Notice is less than ninety
(90) days after Tenant’s receipt of such Transfer Notice, then, if Tenant shall reasonably and in good faith determine (which determination shall be made as soon as practicable) that an extension of the specified Transfer Date is required
due to the requirements of the Worker Adjustment and Retraining Notification Act, then, as soon as practicable, but in any event within fifteen (15) days of such determination by Tenant, Tenant shall so notify Lessor in writing, and the
Transfer Date that was specified in Lessor’s Transfer Notice shall be extended to such later date set forth in such notice by Tenant by which the requirements of the Worker Adjustment and Retraining Notification Act shall be satisfied (which
date shall not, in any event, be later than the ninetieth (90th) day after Tenant’s receipt of such Transfer Notice) and (ii) Lessor shall have the right, at its option by written notice (the “Extension Notice”) to Tenant from time to
time after delivery of the applicable Transfer Notice, to extend the Transfer Date; provided that the Transfer Date specified by Lessor, exclusive of any extension pursuant to subsection (i) above, may not be extended by Lessor beyond
August 1, 2013 (the Transfer Date, as it may be extended by Lessor pursuant to subsection (ii) above or by Tenant pursuant to subsection (i) above (including, in the case of an extension by Tenant, beyond August 1, 2013)
“Lessor’s Outside Closing Date”); 
 (d) The expiration date of the Term for the Terminating Leased
Property(ies) shall be: (i) with respect to a Terminating Leased Property as to which the closing of a transfer, or the completion of a Facility Termination, has occurred with respect thereto, in accordance with the terms of the Master Leases
and this letter, prior to April 30, 2013, the date of such closing or the date of completion of such Facility Termination, as applicable, and (ii) in all other cases, April 30, 

 January 29, 2013 
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2013 (for the avoidance of doubt, notwithstanding the expiration of the Term of any Terminating Leased Property(ies), Tenant shall continue to have the right as tenant to use and occupy such
Terminating Leased Property(ies) in accordance with the Master Leases and this letter (i.e., to effectuate the transfer or wind down of operations, as applicable), and no holdover tenancy shall be deemed to occur thereby, so long as Tenant vacates
such Terminating Leased Property(ies) and redelivers possession thereof to Lessor, in accordance with the requirements of the Master Leases and this letter, on or prior to the expiration of the applicable Reimbursement Period, as further described
below); 
 (e) Each of Lessor and Tenant shall comply with the provisions of Section 40.3 of the Master Leases, and any
other applicable provisions of the Master Leases relating to transfer of operations, in connection with any such early transition and transfer of any Terminating Leased Property(ies) identified from time to time by Lessor (and, in addition, prior to
the applicable Transfer Date with respect to each Terminating Leased Property, Tenant and the applicable replacement operator identified by Lessor shall enter into an Operations Transfer Agreement that is usual and customary for facilities
comparable to the Terminating Leased Property(ies) and otherwise in a form mutually and reasonably agreed upon by Tenant and such replacement operator); 
 (f) Unless Lessor otherwise notifies Tenant in writing that Tenant may commence a Facility Termination with respect to a Terminating Leased Property (or Lessor is deemed to have delivered such notice
pursuant to subsection (g) below) (such notice or deemed notice, a “Facility Termination Notice”), Tenant shall continue to operate such Terminating Leased Property until the earlier to occur of the following dates: (i) if
Lessor delivers a Transfer Notice and the applicable closing occurs, the closing date of such transfer, and (ii) if Lessor delivers a Transfer Notice by the Transfer Notice Deadline but fails, on or after the Transfer Notice Deadline, to close
such transfer on or before the applicable Lessor’s Outside Closing Date, such Lessor’s Outside Closing Date. Commencing on May 1, 2013, Lessor shall have obligations relating to reimbursement of operating deficits (the
“Reimbursement Obligation”) or, if Tenant elects to forego its rights to reimbursement of operating deficits, Lessor shall be obligated to allow Tenant to pay reduced Base Rent (the “Reduced Base Rent Obligation”)
with respect to such Terminating Leased Property as provided in Section 40.3 (and the parties hereby agree that Tenant may make such an election with respect to a Terminating Leased Property by written notice to Lessor delivered at any time
within fifteen (15) days following the termination of the applicable Master Lease with respect to such Terminating Leased Property), as if Lessor had procured a “Qualified Successor” and issued a timely Section 40.3 Notice with
respect thereto (it being agreed that, if Lessor has issued a Transfer Notice with respect to a particular Terminating Leased Property but, as of the Transfer Date specified therein (as such Transfer Date may be extended as provided in subsection
(c) above), Lessor is not prepared to complete a transfer and transition of such Terminating Leased Property to a replacement operator, from and after such Transfer Date, Lessor and Tenant shall continue to have the

 January 29, 2013 
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post expiration and other obligations referenced in Section 40.3 of the applicable Master Lease, as amended by this subsection (f) and the other provisions of this letter, relating to
such Terminating Leased Property, including, as and when applicable with respect to such Terminating Leased Property, the right of Tenant to commence a Facility Termination upon receipt of a Facility Termination Notice or as the result of a deemed
Facility Termination Notice as described in subsection (g) below, and Lessor shall comply with the Reimbursement Obligation or Reduced Base Rent Obligation, as applicable; 

(g) If, with respect to a particular Terminating Leased Property, (i) Lessor has not delivered a Transfer Notice on or prior to the
Transfer Notice Deadline, (ii) Lessor has not delivered a Facility Termination Notice on or prior to August 1, 2013 (except that this subsection (ii), and subsection (iii) below, shall not apply to a Terminating Leased Property as to which
Lessor has delivered a Transfer Notice but the closing has not occurred on or prior to August 1, 2013 due to an extension of the Transfer Date by Tenant beyond August 1, 2013 pursuant to subsection (c)(i) above), (iii) subject to
subsection (ii) above, Lessor has delivered a Transfer Notice but the closing has not occurred with respect thereto on or prior to August 1, 2013 or (iv) subsection (iii) above is applicable and the closing with respect thereto
does not occur on the extended Transfer Date, then Lessor shall be deemed to have irrevocably delivered a Facility Termination Notice as of (x) the day after the Transfer Notice Deadline (if subsection (i) above is applicable),
(y) August 2, 2013 (if subsection (ii) or (iii) above is applicable) or (z) the day after the extended Transfer Date referenced in subsection (iv) above (if subsection (iv) above is applicable), and Tenant shall
thereafter have the right to commence a Facility Termination. Provided that Tenant diligently proceeds toward the completion of a Facility Termination (whether pursuant to a Facility Termination Notice issued by Lessor or a deemed Facility
Termination Notice), Tenant shall have such period of time to complete such Facility Termination as Tenant reasonably, in good faith and with due diligence requires to complete such Facility Termination (and the Reimbursement Period shall continue
during such period), and Tenant shall not be a holdover tenant as long as it is proceeding in such manner to complete such Facility Termination; and 
 (h) In the case of each Terminating Leased Property, the Reimbursement Period, if any, that is applicable thereto shall commence on May 1, 2013, and, instead of ending on the earliest of the dates
referenced in subsections (i), (ii) and (iii) of Section 40.3 of each Master Lease, shall end on the earliest to occur of: (X) the date that the closing occurs under an Operations Transfer Agreement between Tenant
and a replacement operator identified by Lessor with respect to such Terminating Leased Property; and (Y) the date that Tenant completes a Facility Termination (or reasonably should have completed such Facility Termination acting reasonably, in good
faith and with due diligence) with respect to such Terminating Leased Property in accordance with the applicable Master Lease (as amended by this letter); provided, however, that, if subsection (Y) is applicable, the Reimbursement Obligation,
if applicable to such Terminating 

 January 29, 2013 
 Kindred Healthcare, Inc. 
 Kindred Healthcare Operating, Inc. 

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Leased Property, shall terminate ninety (90) days after the date of delivery or deemed delivery of the Facility Termination Notice relative to such Terminating Leased Property and thereafter
Base Rent allocable to such Terminating Leased Property shall be reduced to zero, and Tenant, not Lessor, shall be responsible for any operating deficits with respect to such Terminating Leased Property, until the end of the applicable Reimbursement
Period. 
  

	 	3.	Except as set forth herein, the Master Leases (as amended by the May 2012 Letter Agreement) shall remain in full force and effect. In order to induce Lessor to enter
into this letter, Tenant hereby represents and warrants to Lessor that Tenant’s entry into this letter does not require that any consent or approval first be obtained from any lender or other third party. In order to induce Tenant to enter into
this letter, Lessor hereby represents and warrants to Tenant that Lessor’s entry into this letter does not require that any consent or approval first be obtained from any lender or other third party. 

[SIGNATURE PAGES FOLLOW] 

 January 29, 2013 
 Kindred Healthcare, Inc. 
 Kindred Healthcare Operating, Inc. 

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 If you are in agreement with the foregoing matters, please execute and return to the
undersigned the enclosed copy of this letter. 
  

					
	Very truly yours,
	
	 VENTAS REALTY, LIMITED PARTNERSHIP,
 a Delaware limited partnership

	
	 By:   Ventas, Inc., a Delaware corporation, its general partner

			
		 	By:	 	/s/ T. Richard Riney
		 		 	T. Richard Riney,
		 		 	 Executive Vice President, Chief Administrative
 Officer and General Counsel

  

			
	AGREED AND ACCEPTED:
	
	 KINDRED HEALTHCARE, INC.,
 a Delaware corporation

		
	By:	 	/s/ Douglas L. Curnutte
	Name: Douglas L. Curnutte
	Its: Vice President – Facilities and Real Estate Development
	
	 KINDRED HEALTHCARE OPERATING, INC.,
 a Delaware corporation

		
	By:	 	/s/ Douglas L. Curnutte
	Name: Douglas L. Curnutte
	Its: Vice President – Facilities and Real Estate Development

  

 January 29, 2013 
 Kindred Healthcare, Inc. 
 Kindred Healthcare Operating, Inc. 

 Page
 7
 
  

 JOINDER 

For the avoidance of doubt and although it is not required to do so, the undersigned, as the joint and several Lessor with Ventas Realty,
Limited Partnership under certain of the Master Leases (with respect to Facilities 4614 and 4619), hereby joins in this letter for the purpose of evidencing its consent thereto, joinder therein and agreement to be bound thereby. 

 

			
	VENTAS, INC., a Delaware corporation
		
	By: 	 	/s/ T. Richard Riney
		 	 T. Richard Riney, Executive Vice President,
 Chief Administrative Officer and General Counsel

 Schedule A 
 Kindred Transitional Care and Rehabilitation- Mobile, Mobile, AL (Facility 824- ML3) 
 Kindred
Nursing and Rehabilitation- Andrew House, New Britain, CT (Facility 562- ML1) 
 Kindred Nursing and Rehabilitation- Laurel Ridge, Jamaica Plain,
MA (Facility 327-ML1) 
 Kindred Nursing and Rehabilitation- Presentation, Brighton, MA (Facility 506- ML3) 

Chestnut Terrace Nursing and Rehabilitation Center, Riverside, RI (Facility 1224- ML2)

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