X0203 3 2009-09-24 0 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0001123639 WELSH CARSON ANDERSON & STOWE IX LP C/O WELSH, CARSON, ANDERSON & STOWE 320 PARK AVENUE, SUITE 2500 NEW YORK NY 10022 0 0 1 0 Common Stock 24257155 D Participating Preferred Stock 0 Common Stock 29604047 D All shares of Participating Preferred Stock will automatically convert into Common Stock upon consummation of the Issuer's initial public offering. Represents the number of shares of Common Stock to be received upon the conversion of the Participating Preferred Stock into Common Stock, assuming (i) an initial public offering price of $12.00 per share of Common Stock and (ii) a closing date of the initial public offering of September 30, 2009. /s/David Mintz, Attorney-in-Fact 2009-09-24