X0303 4 2009-09-30 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 2009-09-30 4 C 0 34893003 A 59150158 D Participating Preferred Stock 2009-09-30 4 C 0 12023373 D Common Stock 34893003 0 D Upon consummation of the Issuer's initial public offering, each share of Participating Preferred Stock automatically converted into the number of shares of Common Stock determined by (a) dividing the accreted value of such share of Participating Preferred Stock by the net price per share received by the Issuer in the initial public offering and (b) adding .30 shares of Common Stock for each share of Participating Preferred Stock owned. /s/David Mintz, Attorney-in-Fact 2009-10-02