X0303 4 2009-09-30 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 2009-09-30 4 C 0 2652106 A 8674931 D Common Stock 3750000 I By The Rocco A. Ortenzio Descendants Trust Common Stock 2100000 I By The Robert A. Ortenzio Descendants Trust Participating Preferred Stock 2009-09-30 4 C 0 913858.31 0.00 D Common Stock 2652106 0 D Upon consummation of the Company'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 Company in the initial public offering and (b) adding .30 shares of Common Stock for each share of Participating Preferred Stock owned. 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 2009-10-01