Document:

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                                                                     EXHIBIT 4.2

Form BCA-10.30             ARTICLES OF AMENDMENT
(Rev. Jan. 1999)                                         File #
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Jesse White
Secretary of State                                        SUBMIT IN DUPLICATE
Department of Business Services                          -----------------------
Springfield, IL 62756                                    THIS SPACE FOR USE BY
Telephone (217) 782-1832                                  SECRETARY OF STATE
----------------------------------------                   Date
Remit payment in check or money
order, payable to "Secretary of State."                    Franchise Tax  $
The filing fee for restated articles of                    Filing Fee*    $25.00
amendment - $100.00                                        Penalty        $

http://www.sos.state.il.us                                 Approved
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1.   CORPORATE NAME:  WEST POINTE BANCORP, INC.
                     ----------------------------------------------------------
                                                                        (Note 1)

2.   MANNER OF ADOPTION OF AMENDMENT:

         The following amendment of the Articles of Incorporation was adopted
         on April 11, 2001   , in the manner indicated below. ("X" one box only)
            -----------------
           (Month & Day)(Year)

     [ ] By a majority of the incorporators, provided no directors were named in
         the articles of incorporation and no directors have been elected;

                                                                        (Note 2)

     [ ] By a majority of the board of directors, in accordance with Section
         10.10, the corporation having issued no shares as of the time of
         adoption of this amendment;

                                                                        (Note 2)

     [ ] By a majority of the board of directors, in accordance with Section
         10.15, shares having been issued but shareholder action not being
         required for the adoption of the amendment;

                                                                        (Note 3)

     [X] By the shareholders, in accordance with Section 10.20, a resolution of
         the board of directors having been duly adopted and submitted to the
         shareholders. At a meeting of shareholders, not less than the minimum
         number of votes required by statute and by the articles of
         incorporation were voted in favor of the amendment;

                                                                        (Note 4)

     [ ] By the shareholders, in accordance with Sections 10.20 and 7.10, a
         resolution of the board of directors having been duly adopted and
         submitted to the shareholders. A consent in writing has been signed by
         shareholders having not less than the minimum number of votes required
         by statute and by the articles of incorporation. Shareholders who have
         not consented in writing have been given notice in accordance with
         Section 7.10;

                                                                   (Notes 4 & 5)

     [ ] By the shareholders, in accordance with Sections 10.20 and 7.10, a
         resolution of the board of directors having been duly adopted and
         submitted to the shareholders. A consent in writing has been signed by
         all the shareholders entitled to vote on this amendment.

                                                                        (Note 5)

3.   TEXT OF AMENDMENT:

     a.  When amendment effects a name change, insert the new corporate name
         below. Use Page 2 for all other amendments.

         Article I: The name of the corporation is:

                                  (No change)
--------------------------------------------------------------------------------
                                   (NEW NAME)

                 All changes other than name, include on page 2
                                     (over)

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                                TEXT OF AMENDMENT

     b.  (If amendment affects the corporate purpose, the amended purpose is
         required to be set forth in its entirety. If (there is not sufficient
         space to do so, add one or more sheets of this size.)

             See attached Exhibit A.

                                     Page 2

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                                   EXHIBIT A

SECTION 4

CAPITAL STOCK

              The aggregate number of shares of all classes of capital stock
which the Corporation has authority to issue is 10,050,000, of which 10,000,000
are to be shares of common stock, $1.00 par value per share, and of which 50,000
are to be shares of serial preferred stock, $1.00 par value per share. The
shares may be issued by the Corporation from time to time as approved by the
board of directors of the Corporation without the approval of shareholders
except as otherwise provided in this Section 4. The consideration for the
issuance of the shares shall be paid to or received by the Corporation in full
before their issuance and shall not be less than the par value per share. The
consideration for the issuance of the shares shall be cash, services rendered,
personal property (tangible or intangible), real property, leases of real
property or any combination of the foregoing. In the absence of actual fraud in
the transaction, the judgment of the board of directors as to the value of such
consideration shall be conclusive. Upon payment of such consideration such
shares shall be deemed to be fully paid and nonassessable. In the case of a
stock dividend, the part of the surplus of the Corporation which is transferred
to stated capital upon the issuance of shares as a stock dividend shall be
deemed to be the consideration for their issuance.

              A description of the different classes and series (if any) of the
Corporation's capital stock, and a statement of the relative powers,
designations, preferences and rights of the shares of each class and series (if
any) of capital stock, and the qualifications, limitations or restrictions
thereof, are as follows:

              A. Common Stock. Except as provided in these Articles, the holders
of the common stock shall exclusively possess all voting power. Each holder of
shares of common stock shall be entitled to one vote for each share held by such
holder.

              Whenever there shall have been paid, or declared and set aside for
payment, to the holders of the outstanding shares of any class of stock having
preference over the common stock as to the payment of dividends, the full amount
of dividends and sinking fund or retirement fund or other retirement payments,
if any, to which such holders are respectively entitled in preference to the
common stock, then dividends may be paid on the common stock, and on any class
or series of stock entitled to participate therewith as to dividends, out of any
assets legally available for the payment of dividends, but only when declared by
the board of directors of the Corporation.

              In the event of any liquidation, dissolution or winding up of the
Corporation, after there shall have been paid, or declared and set aside for
payment, to the holders of the outstanding shares of any class having preference
over the common stock in any such event, the full preferential amounts to which
they are respectively entitled, the holders of the common stock and of any class
or series of stock entitled to participate therewith, in whole or in part, as to
distribution of assets shall be entitled, after payment or provision for payment
of all debts and liabilities of the

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Corporation, to receive the remaining assets of the Corporation available for
distribution, in cash or in kind.

              Each share of common stock shall have the same relative powers,
preferences and rights as, and shall be identical in all respects with, all the
other shares of common stock of the Corporation.

              B. Serial Preferred Stock. Except as provided in these Articles,
the board of directors of the Corporation is authorized, by resolution or
resolutions from time to time adopted, to provide for the issuance of preferred
stock in series and to fix and state the powers, designations, preferences and
relative, participating, optional or other special rights of the shares of such
series, and the qualifications, limitations or restrictions thereof, including,
but not limited to determination of any of the following:

                  1. the distinctive serial designation and the number of shares
constituting such series;

                  2. the dividend rates or the amount of dividends to be paid
on the shares of such series, whether dividends shall be cumulative and, if so,
from which date or dates, the payment date or dates for dividends, and the
participating or other special rights, if any, with respect to dividends;

                  3. the voting powers, full or limited, if any, of the shares
of such series;

                  4. whether the shares of such series shall be redeemable and,
if so, the price or prices at which, and the terms and conditions upon which
such shares may be redeemed;

                  5. the amount or amounts payable upon the shares of such
series in the event of voluntary or involuntary liquidation, dissolution or
winding up of the Corporation;

                  6. whether the shares of such series shall be entitled to the
benefits of a sinking or retirement fund to be applied to the purchase or
redemption of such shares, and, if so entitled, the amount of such fund and the
manner of its application, including the price or prices at which such shares
may be redeemed or purchased through the application of such funds;

                                        2

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                  7. whether the shares of such series shall be convertible
into, or exchangeable for, shares of any other class or classes or any other
series of the same or any other class or classes of stock of the Corporation
and, if so convertible or exchangeable, the conversion price or prices, or the
rate or rates of exchange, and the adjustments thereof, if any, at which such
conversion or exchange may be made, and any other terms and conditions of such
conversion or exchange;

                  8. the subscription or purchase price and form of
consideration for which the shares of such series shall be issued; and

                  9. whether the shares of such series which are redeemed or
converted shall have the status of authorized but unissued shares of serial
preferred stock and whether such shares may be reissued as shares of the same or
any other series of serial preferred stock.

              Each share of each series of preferred stock shall have the same
relative powers, preferences and rights as, and shall be identical in all
respects with, all the other shares of the Corporation of the same series.

                                       3<PAGE>

                                                                     Exhibit 4.5

               AMENDMENT No. 1 TO REGISTRATION RIGHTS AGREEMENT
               ------------------------------------------------

     THIS AMENDMENT No. 1, dated as of August 18, 2001 (this "Amendment"), is
                                                              ---------
made by and among Kindred Healthcare, Inc. (formerly named Vencor, Inc.), a
Delaware corporation (the "Company"), and the holders identified on the
                           -------
signature pages hereto (the "Holders"), with respect to the Registration Rights
                             -------
Agreement, dated as of April 20, 2001 (the "Registration Rights Agreement"), by
                                            -----------------------------
and among the Company and the Holders.  For all purposes of this Amendment,
capitalized terms used but not defined herein have the meanings assigned to such
terms in the Registration Rights Agreement.

                                   RECITALS

     WHEREAS, the Company and the Holders have heretofore entered into the
Registration Rights Agreement;

     WHEREAS, the Company has informed the Holders that it desires, for valid
business reasons, a 30-day extension of the time for it to file a Shelf
Registration Statement in accordance with Section 2 of the Registration Rights
Agreement (the "Extension"); and
                ---------

     WHEREAS, the Company and the Holders are willing to enter into such
amendment;

     NOW, THEREFORE, for good and valuable consideration, the receipt and
adequacy of which are hereby acknowledged, it is agreed as follows:

                                   ARTICLE I

                                   AMENDMENT
                                   ---------

     Section 2(a) of the Registration Rights Agreement is hereby amended by
replacing the number "120" in the second line thereof with the number "150".

                                  ARTICLE II

                                 MISCELLANEOUS
                                 -------------

     Section 2.1.  Regarding the Company and the Holders.  All of the provisions
                   -------------------------------------
of the Registration Rights Agreement with respect to the rights and duties of
the Company and the Holders shall be applicable in respect hereof as fully and
with like effect as if set forth herein in full.  Each Holder is a party to the
Registration Rights Agreement and has not transferred or assigned any of its
rights thereunder to any other Person.

     Section 2.2.  Continuing Effect.  Except as expressly amended by this
                   -----------------
Amendment, the Registration Rights Agreement shall remain in full force and
effect in accordance with its terms.
<PAGE>

     Section 2.3.  References to Registration Rights Agreement.  All references
                   -------------------------------------------
to the Registration Rights Agreement in the Registration Rights Agreement or in
any other document executed or delivered in connection therewith shall, from and
after the effectiveness of this Amendment, be deemed to be references to the
Registration Rights Agreement as amended hereby, unless the context expressly
requires otherwise.

     Section 2.4.  Governing Law.  THIS AMENDMENT SHALL BE GOVERNED BY AND
                   -------------
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE JURISDICTION WHICH GOVERN THE
REGISTRATION RIGHTS AGREEMENT AND ITS CONSTRUCTION.

     Section 2.5.  Counterparts.  This Amendment may be executed in any number
                   ------------
of counterparts, each of which so executed shall be deemed to be an original,
but all such counterparts shall together constitute but one and the same
instrument.

                           [Signature Pages Follow]

                                       2
<PAGE>

          IN WITNESS WHEREOF, the parties hereto have caused this Amendment to
be duly executed as of the date first written above.

                                    KINDRED HEALTHCARE, INC.

                                    By:  /s/ Richard A. Schweinhart
                                         --------------------------
                                    Name:  Richard A. Schweinhart
                                    Title: Senior Vice President and Chief
                                           Financial Officer

                                    HOLDERS:

                                    THE VENTAS STOCKHOLDER TRUST

                                    By:  The Bank of New York, not in its
                                         individual capacity, but solely as
                                         trustee

                                    By:  /s/ Marybeth Lewicki
                                         --------------------
                                    Name:  Marybeth Lewicki
                                    Title:  Vice President

                                    VENTAS REALTY, LIMITED
                                    PARTNERSHIP

                                    By:  Ventas, Inc., its General Partner

                                    By: /s/ T. Richard Riney
                                        --------------------
                                    Name:  T. Richard Riney
                                    Title: Executive Vice President and General
                                           Counsel

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<PAGE>

                                    FRANKLIN MUTUAL ADVISERS, LLC

                                    By: /s/ Bradley Takahashi
                                        ---------------------
                                    Name: Bradley Takahashi
                                    Title:  Assistant Vice President

                                    APPALOOSA MANAGEMENT L.P.,
                                    on behalf of certain accounts for which it
                                    acts as investment advisor

                                    By: /s/ Ronald M. Goldstein
                                        -----------------------
                                    Name: Ronald M. Goldstein
                                    Title:

                                    GOLDMAN SACHS & CO.

                                    By: /s/ Dan Allen
                                        -------------
                                    Name: Dan Allen
                                    Title: Authorized Signatory

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