X0306 4 2020-07-28 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 Exec. Chairman and Co-Founder Common Stock 2020-07-28 4 A 0 250000 0 A 5243036 D Common Stock 800000 I By the Robert A. Ortenzio July 2020 GRAT Common Stock 2200000 I By the Robert A. Ortenzio Descendants Trust Common Stock 3350000 I By the Rocco A. Ortenzio Descendants Trust Common Stock 56669 I By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio Common Stock 800000 I By the Robert A. Ortenzio October 2019 GRAT Common Stock 54553 I By the Robert A. Ortenzio 2014 Trust for Bryan A. Ortenzio Common Stock 54553 I By the Robert A. Ortenzio 2014 Trust for Kevin M. Ortenzio Common Stock 54552 I By the Robert A. Ortenzio 2014 Trust for Madeline G. Ortenzio Grant of shares of restricted stock to Executive Officers of the Issuer, which will vest in full on July 28, 2023, the third anniversary of the grant date. 800,000 shares were previously owned by, and contributed by, Robert A. Ortenzio to the Robert A. Ortenzio July 2020 GRAT. The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership to the reported securities except to the extent of his pecuniary interest therein. 300,000 shares were previously owned by, and contributed by, Robert A. Ortenzio to the Robert A. Ortenzio Descendants Trust. /s/ Michael E. Tarvin, as attorney-in-fact 2020-07-30