Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Thoma Cressey Bravo, Inc.
  2. Issuer Name and Ticker or Trading Symbol
SELECT MEDICAL HOLDINGS CORP [SEM]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last)
(First)
(Middle)
9200 SEARS TOWER, 233 SOUTH WACKER DRIVE
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2009
(Street)

CHICAGO, IL 60606
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/30/2009   C   7,575,638 (5) A (1) 12,842,122 (6) I By Funds named in Footnote (2)
Common Stock 09/30/2009   C   175,976 A (1) 298,311 I By Bryan C. Cressey (2) (3)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Participating Preferred Stock (1) 09/30/2009   C     2,610,401 (4)   (1)   (1) Common Stock 7,575,638 (5) (1) 0 I By Funds named in Footnote (2)
Participating Preferred Stock (1) 09/30/2009   C     60,637   (1)   (1) Common Stock 175,976 (1) 0 I By Bryan C. Cressey (2) (3)

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
Thoma Cressey Bravo, Inc.
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
    X    
THOMA CRESSEY FUND VII LP
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
    X    
Thoma Cressey Friends Fund VII, L.P.
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
    X    
THOMA CRESSEY FUND VI L P
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
    X    
Thoma Cressey Friends Fund VI, L.P.
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
    X    
CRESSEY BRYAN C
9200 SEARS TOWER
233 SOUTH WACKER DRIVE
CHICAGO, IL 60606
  X   X    

Signatures

 /s/Bryan C. Cressey for Thoma Cressey Bravo, Inc.   10/02/2009
**Signature of Reporting Person Date

 /s/Bryan C. Cressey for Thoma Cressey Fund VII, L.P.   10/02/2009
**Signature of Reporting Person Date

 /s/Bryan C. Cressey for Thoma Cressey Friends Fund VII, L.P.   10/02/2009
**Signature of Reporting Person Date

 /s/Bryan C. Cressey for Thoma Cressey Fund VI, L.P.   10/02/2009
**Signature of Reporting Person Date

 /s/Bryan C. Cressey Thoma Cressey Friends Fund VI, L.P.   10/02/2009
**Signature of Reporting Person Date

 /s/Bryan C. Cressey   10/02/2009
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) 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 (2) 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.
(2) Owned by Thoma Cressey Fund VII, L.P. ("TC VII"), Thoma Cressey Friends Fund VII, L.P. ("TC Friends VII"), Thoma Cressey Fund VI, L.P. ("TC VI") and Thoma Cressey Friends Fund VI, L.P. ("TC Friends VI"). The sole general partner of TC VII and TC Friends VII is TC Partners VII, L.P. ("VII GP") and the sole general partner of TC VI and TC Friends VI is TC Partners VI, L.P. ("VI GP"). The sole general partner of both VII GP and VI GP is Thoma Cressey Bravo, Inc. ("TCBI"). The sole shareholder of TCBI is Carl D. Thoma.
(3) These securities are solely directly beneficially owned by Bryan C. Cressey. Mr. Cressey, who is a director of Issuer, is also an officer and a director of TCBI, and may also be deemed to indirectly beneficially own the securities held by TC VII, TC Friends VII, TC VI and TC Friends VI. Pursuant to Instruction (4)(b)(iv) of Form 4, Mr. Cressey has elected to report as indirectly benefically owned the entire number of securities beneficially owned by each such entity, however he disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
(4) Of such 2,610,401 shares, 1,464,119 are attributable to TCVII, 1,112,289 are attributable to TC VI, 22,870 are attributable to TC Friends VII and 11,123 are attributable to TC Friends VI.
(5) Of such 7,575,638 shares, 4,249,016 are held by TC VII, 3,227,972 are held by TCVI, 66,371 are held by TC Friends VII and 32,279 are held by TC Friends VI.
(6) Of such 12,842,122 shares, 7,202,876 are held by TC VII, 5,472,015 are held by TC VI, 112,511 are held by TC Friends VII and 54,720 are held by TC Friends VI.

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