UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

o

Rule 13d-1(b)

o

Rule 13d-1(c)

x

Rule 13d-1(d)

CUSIP No. 81619Q105

1.

Names of Reporting Persons
Rocco A. Ortenzio

2.

Check the Appropriate Box if a Member of a Group

(a)

o

(b)

o

3.

SEC Use Only

4.

Citizenship or Place of Organization
United States

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
7,379,192

6.

Shared Voting Power
2,760,000(1)

7.

Sole Dispositive Power
7,379,192

8.

Shared Dispositive Power
2,760,000(1)

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
10,139,192(1)

10.

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares  o

11.

Percent of Class Represented by Amount in Row 9
7.5%(1)

12.

Type of Reporting Person
IN

CUSIP No. 81619Q105

Item 1(a).

Name of Issuer:
Select Medical Holdings Corporation

Item 1(b).

Address of Issuer’s Principal Executive Offices:
4714 Gettysburg Road, P.O. Box 2034, Mechanicsburg, Pennsylvania 17055

Item 2(a).

Name of Person Filing:
Rocco A. Ortenzio

Item 2(b).

Address of Principal Business Office or, if none, Residence:
c/o Select Medical Holdings Corporation

4714 Gettysburg Road, P.O. Box 2034, Mechanicsburg, Pennsylvania 17055

Item 2(c).

Citizenship:
United States

Item 2(d).

Title of Class of Securities:
Common Stock, $.001 par value

Item 2(e)

CUSIP Number:
81619Q105

Item 3.

If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: Not Applicable.

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);

(e)

o

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

(g)

o

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

(h)

o

A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act (15 U.S.C. 80a-3);

(j)

o

A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J);

(k)

o

Group, in accordance with § 240.13d–1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with

§ 240.13d–1(b)(1)(ii)(J), please specify the type of institution:____________________________

Item 4.

Ownership.

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1 is presented as of February 1, 2019:

(a)

Amount beneficially owned:   

10,139,192(1)

(b)

Percent of class:   

7.5%(1), based upon 135,262,167 shares of common stock outstanding as of February 1, 2019.

(c)

Number of shares as to which such person has:

(i)

Sole power to vote or to direct the vote   

7,379,192

(ii)

Shared power to vote or to direct the vote    

2,760,000(1)

(iii)

Sole power to dispose or to direct the disposition of   

7,379,192

(iv)

Shared power to dispose or to direct the disposition of   

2,760,000(1)

Item 5.

Ownership of Five Percent or Less of a Class.

Not Applicable.

Item 6.

Ownership of More than Five Percent on Behalf of Another Person.

Not Applicable.

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not Applicable.

Item 8.

Identification and Classification of Members of the Group.

Not Applicable.

Item 9.

Notice of Dissolution of Group.

Not Applicable.

Item 10.

Certifications.

Not applicable.

February 5, 2019

Date

/s/ Rocco A. Ortenzio

Signature

Rocco A. Ortenzio

Name/Title