X0306 4 2013-02-20 0 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0000918697 ORTENZIO ROBERT A C/O SELECT MEDICAL HOLDINGS CORPORATION 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 1 1 0 0 Chief Executive Officer Common Stock 2013-02-20 4 J 0 84 0 A 8475267 D Common Stock 3750000 I By the Rocco A. Ortenzio Descendants Trust Common Stock 2300000 I By the Robert A. Ortenzio Descendants Trust In kind distribution of shares by WCAS Capital Partners IV, L.P. pro rata to its partners. The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Michael E. Tarvin, as attorney-in-fact 2013-02-21