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                                                                   Exhibit 10.64

                       AMENDMENT TO EMPLOYMENT AGREEMENT
                       ---------------------------------

     THIS AMENDMENT TO EMPLOYMENT AGREEMENT (the "Amendment") is made as of
the 28/th/ day of September, 1998, by and between VENCOR OPERATING, INC., a
Delaware corporation (the "Company"), and FRANK J. BATTAFARANO (the
"Executive").

     WHEREAS, the Company and Executive desire to amend the terms of the
Employment Agreement made as of the 28/th/ day of July, 1998, between the
Company and Executive (the "Employment Agreement") pursuant to the terms of this
Amendment; and

     WHEREAS, the Executive and the Company agree that the terms and
provisions of the Employment Agreement shall continue except as specifically
amended herein.

     NOW, THEREFORE, in consideration of the premises and the respective
covenants and agreements contained herein, and intending to be legally bound
hereby, the Company and Executive agree as follows:

     1.   Amendment to Section 5.
          ----------------------

          Section 5 of the Employment Agreement shall be revised to insert the
following paragraph as Section 5(e).

          (e)  The Company shall take such action as is required to cause the
               promissory note or other agreement (the "Preferred Stock Loan
               Agreement") entered into in respect of the loan to Executive,
               dated April 30, 1998, in the original principal amount of
               $297,000 (the "Preferred Stock Loan") to be amended (x) to
               provide that the maturity date shall be extended to 10 years from
               the date of its original issuance and (y) to delete the provision
               requiring that the Preferred Stock Loan be due and payable upon
               90 days following termination of employment of Executive.

     2.   Amendment to Section 7(b)(1).
          ----------------------------

          The first paragraph of Section 7(b)(1) shall be revised in its
entirety as follows:

          (1)  Within 14 days of Executive's Date of Termination, the Company
               shall pay to Executive (i) the pro rata portion of the Target
               Bonus and Performance Share Award for Executive for the year in
               which the Date of Termination occurs, and (ii) an amount equal to
               1.0 times the sum of (x) the Executive's Base Salary and Target
               Bonus as of the Date of Termination, and (y) the number of
               performance shares awarded to the Executive pursuant to the
               Vencor, Inc. 1998 Incentive Compensation Plan (the "1998 Plan")
               (including assumed awards granted under the Vencor, Inc. 1987
               Incentive Compensation Program (the "1987 Program") and
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               the Vencor, Inc. 1997 Incentive Compensation Plan (the "1997
               Plan")) in respect of the year in which such Date of Termination
               occurs (without regard to any acceleration of the award for such
               year), assuming for such purpose that all performance criteria
               applicable to such award with respect to the year in which such
               Date of Termination occurs were deemed to be satisfied (the
               "Performance Share Award").

     3.   Reaffirmation of Other Terms and Conditions.
          -------------------------------------------

          Except as expressly modified by this Amendment, all other terms and
provisions of the Employment Agreement shall remain in full force and effect,
unmodified and unrevoked, and the same are hereby reaffirmed and ratified by the
Executive and the Company as if fully set forth herein.

     IN WITNESS WHEREOF, the parties have executed this Amendment as of the
date first above written.

                              VENCOR OPERATING, INC.

                              By: /s/ W. Bruce Lunsford
                                 ----------------------
                                 Name: W. Bruce Lunsford
                                 Title: Chairman of the Board, President
                                          and Chief Executive Officer

                              Solely for the purpose of Section 7(b)(i)

                              VENCOR, INC.

                              By: /s/ W. Bruce Lunsford
                                 ----------------------
                                 Name: W. Bruce Lunsford
                                 Title: Chairman of the Board, President
                                          and Chief Executive Officer

                              /s/ Frank J. Battafarano
                              ------------------------
                              FRANK J. BATTAFARANO<PAGE>

                                                                   Exhibit 10.65

                    AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT
                    ---------------------------------------

     THIS AMENDMENT NO. 2 TO EMPLOYMENT AGREEMENT (the "Amendment") is made as
of the 5th day of November, 1999, by and between VENCOR OPERATING, INC., a
Delaware corporation (the "Company"), and FRANK J. BATTAFARANO (the
"Executive").

     WHEREAS, the Company and Executive desire to amend the terms of the
Employment Agreement made as of July 28, 1998, as amended September 28, 1998,
between the Company and Executive (the "Employment Agreement") pursuant to the
terms of this Amendment; and

     WHEREAS, the Company and Executive agree and acknowledge that this
Amendment is made in consideration of Executive forfeiting certain rights in
exchange for a certain retention bonus and other consideration provided herein;
and

     WHEREAS, the Executive and the Company agree that the terms and
provisions of the Employment Agreement shall continue except as specifically
amended herein.

     NOW, THEREFORE, in consideration of the premises and the respective
covenants and agreements contained herein, and intending to be legally bound
hereby, the Company and Executive agree as follows:

     1.   Amendment to Section 7(b).
          -------------------------

          Section 7(b) of the Employment Agreement shall be revised in its
entirety as follows:

               (b)  Good Reason; Other than for Cause.  If, during the Term, the
                    ---------------------------------
     Company shall terminate Executive's employment other than for Cause (but
     not for Disability), or the Executive shall terminate his employment for
     Good Reason:

                         (1) Within 14 days of Executive's Date of Termination,
               the Company shall pay to Executive (i) the prorated portion of
               the Target Bonus and Performance Share Award for Executive for
               the year in which the Date of Termination occurs, and (ii) an
               amount equal to 1.5 times the sum of (x) the Executive's Base
               Salary and Target Bonus as of the Date of Termination, and (y)
               the number of performance shares awarded to the Executive
               pursuant to the Vencor, Inc. 1998 Incentive Compensation Plan
               (the "1998 Plan") in respect of the year in which such Date of
               Termination occurs (without regard to any acceleration of the
               award for such year), assuming for such purpose that all
               performance criteria applicable to such award with respect to the
               year in which such Date of Termination occurs were deemed to be
               satisfied (the "Performance Share Award").
<PAGE>

          For purposes of this Agreement:  "fair market value" shall have the
          meaning ascribed to such term under the 1998 Plan; and "Target Bonus"
          shall mean the full amount of bonuses and/or performance compensation
          (other than Base Salary and stock-based awards under the 1998 Plan)
          that would be payable to the Executive, assuming all performance
          criteria on which such bonus and/or performance compensation are based
          were deemed to be satisfied, in respect of services for the calendar
          year in which the date in question occurs.

               (2) For a period of 18 months following the Date of Termination,
          the Executive shall be treated as if he had continued to be an
          Executive for all purposes under the Parent's Health Insurance Plan
          and Dental Insurance Plan; or if the Executive is prohibited from
          participating in such plan, the Company or Parent shall otherwise
          provide such benefits.  Following this continuation period, the
          Executive shall be entitled to receive continuation coverage under
          Part 6 of Title I or ERISA ("COBRA Benefits") treating the end of this
          period as a termination of the Executive's employment if allowed by
          law.

               (3) For a period of 18 months following the Date of Termination,
          Parent shall maintain in force, at its expense, the Executive's life
          insurance in effect under the Vencor, Inc. Voluntary Life Insurance
          Benefit Plan as of the Date of Termination.

               (4) For a period of 18 months following the Executive's Date of
          Termination, the Company or Parent shall provide short-term and long-
          term disability insurance benefits to Executive equivalent to the
          coverage that the Executive would have had he remained employed under
          the disability insurance plans applicable to Executive on the Date of
          Termination.  Should Executive become disabled during such period,
          Executive shall be entitled to receive such benefits, and for such
          duration, as the applicable plan provides.

               (5) To the extent not already vested pursuant to the terms of
          such plan, the Executive's interests under the Vencor Retirement
          Savings Plan shall be automatically fully (i.e., 100%) vested, without
          regard to otherwise applicable percentages for the vesting of employer
          matching contributions based upon the Executive's years of service
          with the Company.

               (6) Parent may adopt such amendments to its Executive benefit
          plans, if any, as are necessary to effectuate the provisions of this
          Agreement.

               (7) Executive shall be credited with an additional 18 months of
          vesting for purposes of all outstanding stock option awards and
          restricted stock awards and Executive will have an additional 18
          months in which to exercise such stock options.
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               (8)  Following the Executive's Date of Termination, the Executive
          shall receive the computer which Executive is utilizing as of the Date
          of Termination.

     2.   Restatement of Other Terms and Conditions; Subject to Rejection.
          ---------------------------------------------------------------

       Except as expressly modified by this Amendment, all other terms and
provisions of the Employment Agreement shall remain in full force and effect,
unmodified and unrevoked, and the same are hereby reaffirmed and ratified by the
Executive and the Company as if fully set forth herein. Notwithstanding anything
herein to the contrary, Executive hereby agrees and acknowledges that nothing
herein shall constitute either an assumption or rejection of the Employment
Agreement and any amendments thereto pursuant to 11 U.S.C. Section 365.

     IN WITNESS WHEREOF, the parties have executed this Amendment as of the
date first above written.

                                    VENCOR OPERATING, INC.

                                    By: /s/ Edward L. Kuntz
                                       --------------------------------------
                                       Edward L. Kuntz
                                        Chairman of the Board, Chief
                                         Executive Officer and President

                                    VENCOR, INC.

                                    By: /s/ Edward L. Kuntz
                                       --------------------------------------
                                       Edward L. Kuntz
                                        Chairman of the Board, Chief
                                         Executive Officer and President

                                    /s/ Frank J. Battafarano
                                    -----------------------------------------
                                    FRANK J. BATTAFARANO

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