Document:

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                                                                   Exhibit 10.27

                            AMENDMENT NO. 1 TO THE
               RETIREMENT SAVINGS PLAN FOR CERTAIN EMPLOYEES OF
                           VENCOR AND ITS AFFILIATES

     This is Amendment No. 1 to the Retirement Savings Plan For Certain
Employees Of Vencor And Its Affiliates (the "Plan") as amended and restated as
of January 1, 1997, which Amendment shall be effective as of May 1, 1998.

                                   Recitals

     A.   Pursuant to a Distribution Agreement dated as of April 30, 1998
between Vencor, Inc. (as in existence on April 30, 1998) ("Old Vencor") and
Vencor Healthcare, Inc., a wholly-owned subsidiary of Old Vencor ("Healthcare
Company"), Old Vencor contributed substantially all of its assets other than its
real estate holdings to Healthcare Company and then distributed (the
"Distribution") as a dividend to the holders of the issued and outstanding
common shares of Old Vencor all of the issued and outstanding common shares of
Healthcare Company on the basis of one share of Healthcare Company common stock
for each share of Old Vencor common stock.

     B.   Immediately prior to the Distribution, Old Vencor changed its name to
Ventas, Inc. ("Ventas") and Healthcare Company changed its name to Vencor, Inc.
("New Vencor").

     C.   Pursuant to the Employee Benefits Agreement dated as of April 30, 1998
between Old Vencor and Healthcare Company, Old Vencor and Healthcare Company
have taken such actions as required to authorize the substitution of New Vencor
as plan sponsor, the Retirement Committee of New Vencor as plan administrator,
and Ventas as a participating employer under the Plan, and New Vencor now wishes
to formally document those Plan amendments.

                                  Amendments

     1.   The Introduction to the Plan is hereby amended by adding the following
sentence immediately preceding the last paragraph thereof:

     In connection with the spin-off by Vencor, Inc. of Vencor Healthcare, Inc.
     (a wholly-owned subsidiary of Vencor, Inc. to which Vencor, Inc.
     contributed substantially all of its assets other than real estate
     holdings) effected by means of a distribution by Vencor, Inc. as a dividend
     to the holders of the issued and outstanding common shares of Vencor, Inc.,
     all of the issued and outstanding common shares of Vencor Healthcare, Inc.
     on the basis of one share of Vencor Healthcare, Inc. common stock for each
     share of Vencor, Inc. common stock (the "Distribution"), Vencor Inc.
     changed its name to Ventas, Inc. and Vencor Healthcare, Inc. changed its
     name to Vencor, Inc. and assumed the role of
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     Sponsoring Employer under the Plan. Effective May 1, 1998, all references
     to "Vencor, Inc." and "Sponsoring Employer" refer to Vencor, Inc. (the
     entity formerly named Vencor Healthcare, Inc.), and Ventas, Inc. became a
     Participating Employer under the Plan.

     2.   The first sentence of Section 1.15 is hereby amended so that as
amended it shall read in its entirety as follows:

     Employer means (i) Vencor, Inc. (provided that effective May 1, 1998,
     Employer means Vencor, Inc. (formerly Vencor Healthcare, Inc.); and (ii)
     each of the legal entities, or any successor thereto, which participates in
     the VRSP as of January 1, 1997 or which thereafter is a part of the Company
     and adopts the VRSP for its eligible Employees with the consent of the
     Sponsoring Employer; and (iii) any entity that is managed by the Company
     pursuant to a management agreement, provided that the entity which provides
     management services has adopted this Plan for the benefit of its employees
     ( as evidenced as of January 1, 1997 by their name being listed on Appendix
     A); and (iv) Atria Communities, Inc. and Ventas, Inc.; and (v) each legal
     entity, or any successor thereto, which would be part of the Company if
     Atria Communities, Inc. or Ventas, Inc. were substituted for Vencor , Inc.
     in the definition of "Company" herein, and which has adopted the Plan for
     its eligible Employees with the consent of the Sponsoring Employer (as
     evidenced as of January 1, 1997 by their name being listed on Appendix A);
     and (vi) the partnerships listed on Appendix A hereto or which hereafter
     become participating employers pursuant to the procedure in Article 12
     hereof.

     IN WITNESS WHEREOF, the Sponsoring Employer has caused this Amendment No. 1
to be executed on the date set forth below.

                                        VENCOR, INC.

                                      By: /s/ Cecelia A. Hagan
                                          ------------------------------------
                                      Title: Vice President of Human Resources
                                             ---------------------------------
                                      Date:___________________________________<PAGE>

                                                                   Exhibit 10.28

                            AMENDMENT NO. 2 TO THE
               RETIREMENT SAVINGS PLAN FOR CERTAIN EMPLOYEES OF
                           VENCOR AND ITS AFFILIATES

     This is Amendment No. 2 to the Retirement Savings Plan for Certain
Employees of Vencor and Its Affiliates (the "Plan") as amended and restated as
of January 1, 1997.

                                    Recital

     WHEREAS, Vencor, Inc. (the "Company") maintains the Plan and has reserved
the right in Section 9.1 of the Plan to amend the Plan from time to time in its
discretion and the Company now wishes to amend the Plan to add a provision
whereby a participant will be deemed to have revoked his salary redirection
election in the event the Company inadvertently ceases to withhold salary
redirection amounts from a participant's pay and the participant does not notify
the Company within 30 days of the first payroll date on which the salary
redirection amount was not withheld from pay that the error occurred, and to
amend the Plan to allow the Committee to make amendments regarding eligibility,
vesting and service crediting provisions with respect to participating
employers.

                                   Amendment

     1.   Section 3.1 of the Plan is hereby amended effective as of the date of
adoption of this Amendment by the addition of a new subparagraph (d) to read in
its entirety as follows:

          (d)  In the event the Employer fails to withhold Participant
          Salary Redirection Contributions pursuant to a Salary
          Redirection election in effect for a Participant for a
          payroll period, the Participant shall be considered to have
          revoked his Salary Redirection election on the 30th day
          after the pay date on which the Salary Redirection election
          was first not honored. Such revocation shall not be
          considered to be retroactive. The Company shall take such
          steps as it deems advisable to correct the failure to
          withhold and make Salary Redirection contributions for a
          Participant for the period prior to the effective date of
          the revocation.

     2.   Section 9.1 of the Plan is hereby amended so that as amended it shall
read in its entirety as follows:

          Section 9.1   Amendment of the Plan

          The Sponsoring Employer shall have the right at any time by
          action of the Board (or, in the case of amendments to the
          eligibility, vesting and service-counting provisions of the
          Plan with respect to Participating Employers, the Board or
          the Committee) to modify, alter or amend the
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          Plan in whole or in part; provided, however, that the
          duties, powers and liability of the Trustee hereunder shall
          not be increased without its written consent; and provided,
          further, that the amount of benefits which, at the time of
          any such modification, alteration or amendment, shall have
          accrued for any Participant, Former Participant or
          Beneficiary hereunder shall not be adversely affected
          thereby; and provided, further, that no such amendments
          shall have the effect of reverting to the Employer any part
          of the principal or income of the Trust Fund. No amendment
          to the Plan shall decrease the balance of a Participant's
          Individual Account or eliminate an optional form of
          distribution.

     IN WITNESS WHEREOF, this Amendment No. 2 is hereby adopted this 9th day of
December, 1998.

                                    By: /s/ Cecelia A. Hagan
                                        --------------------------------------

                                    Title: Vice President of Human Resources
                                           -----------------------------------<PAGE>

                                                                   Exhibit 10.29

                            AMENDMENT NO. 3 TO THE
               RETIREMENT SAVINGS PLAN FOR CERTAIN EMPLOYEES OF
                           VENCOR AND ITS AFFILIATES

     This is Amendment No. 3 to the Retirement Savings Plan For Certain
Employees Of Vencor And Its Affiliates (the "Plan") as amended and restated as
of January 1, 1997.

                                    RECITAL

     WHEREAS, Vencor, Inc. (the "Company") maintains the Plan and has reserved
the right in Section 9.1 of the Plan to amend the Plan from time to time in its
discretion. The Company now wishes to amend the Plan to bring Plan's definition
of Compensation into compliance with Section 401 (a)(17) of the Code as revised
by the Omnibus Budget Reconciliation Act of 1993 ("OBRA '93"); and to amend the
Plan's Code Section 415 provisions to bring them into compliance with the
requirements of the General Agreement of Tariffs and Trade ("GATT").

                                  AMENDMENTS

     1.   Section 1.9 of the Plan shall be amended by adding the following
sentence at the end of the paragraph, to read as follows:

     For Plan Years beginning on or after January 1, 1994,
     Compensation shall be limited to $150,000, or such higher amount
     determined by the Commissioner of Internal Revenue pursuant to
     Section 401(a)(17) of the Code.

     2.   Notwithstanding any provision of the Plan to the contrary, the
following shall apply:

     Limitation on Benefits. Effective for Plan Years beginning after
     ----------------------
     December 31, 1994, notwithstanding any other provisions of the
     Plan, contributions and other additions with respect to a
     Participant exceed the limitation of Section 415(c) of the Code
     if, when expressed as an annual addition (within the meaning of
     Section 415(c)(2) of the Code to the Participant's Account, such
     annual addition is greater than the lesser of:

     (A)  $30,000; or

     (B)  25% of the Participant's compensation (as defined in Section
          415(c)(3) of the Code).
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     IN WITNESS WHEREOF, this Amendment No. 3 is hereby adopted this 9th day of
December, 1998.

                                    BY: /s/ Cecelia A. Hagan
                                        --------------------------------------

                                    Title: Vice President of Human Resources
                                           -----------------------------------

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