Exhibit 12

Select Medical Holdings Corporation

Ratio of Earnings to Fixed Charges

(unaudited)

	For the Year Ended December 31,
	2011		2012		2013		2014		2015
Pre-tax income from operations before adjustments for non-controlling interests in consolidated subsidiaries or earnings (loss) from equity investees	$	180,807	$	235,845	$	195,325	$	196,753	$	191,621
Fixed charges:
Interest expense and amortization of debt discount and premium on all indebtedness	99,216		94,950		87,364		85,446		112,816
Capitalized interest	304		153		242		381		2,434
Rentals:
Buildings - 33% (A)	39,070		40,973		40,815		42,460		55,428
Office and other equipment - 33% (A)	15,010		14,577		13,513		13,341		14,832
Total fixed charges	$	153,600	$	150,653	$	141,934	$	141,628	$	185,510
Pre-tax income from operations before adjustment for non-controlling interests in consolidated subsidiaries or earnings (loss) from equity investees plus fixed charges, less preferred stock dividend requirements of consolidated subsidiaries less capitalized interest	$	334,103	$	386,345	$	337,017	$	338,000	$	374,697
Ratio of earnings to fixed charges	2.18		2.56		2.37		2.39		2.02

(A)  The Company uses 33% to estimate the interest on its rentals.   This percentage is a reasonable approximation of the interest factor.