0000904454-21-000769.txt : 20211109 0000904454-21-000769.hdr.sgml : 20211109 20211109082818 ACCESSION NUMBER: 0000904454-21-000769 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211105 FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scully Thomas CENTRAL INDEX KEY: 0001414384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 211390005 MAIL ADDRESS: STREET 1: 320 PARK AVENUE, SUITE # 2500 CITY: NEW YORK STATE: NM ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP CENTRAL INDEX KEY: 0001320414 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 BUSINESS PHONE: 717-972-1100 MAIL ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2021-11-05 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0001414384 Scully Thomas C/O WELSH, CARSON, ANDERSON & STOWE 599 LEXINGTON AVE., SUITE 1800 NEW YORK NY 10022 1 0 0 0 Common Stock 2021-11-05 5 G 0 120000 0 D 59389 D /s/ David Mintz, Attorney-in-Fact 2021-11-08