Document:

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                                                                   EXHIBIT 10.39

                           SELECT MEDICAL CORPORATION

                     4716 Old Gettysburg Road, P.O. Box 2034
                        Mechanicsburg, Pennsylvania 17055

                                February 24, 2005

Michael E. Tarvin
Select Medical Corporation
4716 Old Gettysburg Road
P.O. Box 2034
Mechanicsburg, Pennsylvania 17055

            Re:   Second Amendment to Agreement in the Event of a Change of
                  Control of SMC

Dear Mr. Tarvin:

            The following will confirm our desire to amend the Letter Agreement,
dated as of March 1, 2000, and as amended on February 23, 2001 (the "Letter
Agreement"), of Select Medical Corporation, a Delaware corporation (the
"Company"), with you concerning the consequences upon certain terminations of
your employment in connection with a change in control of the Company.
Capitalized terms used herein without definition shall have the meanings
assigned to such terms in the Letter Agreement.

            Reference is made to that certain Agreement and Plan of Merger,
dated as of October 17, 2004 (the "Merger Agreement"), by and among Select
Medical Holdings Corporation (f/k/a EGL Holding Company), a Delaware corporation
("Holdings"), EGL Acquisition Corp., a Delaware corporation ("EGL") and the
Company pursuant to which, upon the terms and subject to the conditions set
forth therein, EGL will merge with and into the Company (the "Merger") with the
Company continuing as the surviving corporation.

            In consideration of your continued employment with the Company and
other good and valuable consideration, including the mutual covenants and
agreements contained in that certain Agreement, dated as of December 20, 2004
(the "Rollover Agreement"), by and among Holdings, you and the other individuals
party thereto, pursuant to which, among other things, you agreed to contribute
your shares of stock of the Company to Holdings in exchange for shares of stock
of Holdings and to amend the Letter Agreement as set forth herein, the receipt
and sufficiency of which is hereby acknowledged, the Company and you hereby
agree, intending to be legally bound hereby, as follows:

            1. That the Merger and other transactions contemplated by the Merger
      Agreement will not be treated as a Change of Control under the terms and
      provisions of the Letter Agreement and you will forgo any change of
      control or similar payments that you would otherwise be entitled to
      receive under such provisions if the Merger or other transactions
      contemplated by the Merger Agreement or the Rollover Agreement would

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      have been treated as a Change of Control (including any gross-up or
      payments, or to reimburse you, for excise taxes resulting from such
      payments or other benefits provided under the Letter Agreement or
      otherwise in connection with the Merger and other transactions
      contemplated by the Merger Agreement or the Rollover Agreement).

            2. For the avoidance of doubt, it is understood that the
      aforementioned provisions shall remain in effect with respect to any
      future Change of Control and, except as amended hereby, the Letter
      Agreement shall continue in effect in accordance with its terms.

            Please indicate your acceptance of the above Amendment by signing
below in the space provided.

                                        Very truly yours,

                                        SELECT MEDICAL CORPORATION

                                        By: /s/ Robert A. Ortenzio
                                            ____________________________________
                                            Robert A. Ortenzio
                                            Chief Executive Officer

AGREED TO AND ACCEPTED BY:

/s/ Michael E. Tarvin
__________________________
Michael E. Tarvin

                                      -2-<PAGE>

                                                                   EXHIBIT 10.42

                           SELECT MEDICAL CORPORATION

                     4716 Old Gettysburg Road, P.O. Box 2034
                        Mechanicsburg, Pennsylvania 17055

                                February 24, 2005

Scott A. Romberger
Select Medical Corporation
4716 Old Gettysburg Road
P.O. Box 2034
Mechanicsburg, Pennsylvania 17055

            Re:   Second Amendment to Agreement in the Event of a Change of
                  Control of SMC

Dear Mr. Romberger

            The following will confirm our desire to amend the Letter Agreement,
dated as of March 1, 2000, and as amended on February 23, 2001 (the "Letter
Agreement"), of Select Medical Corporation, a Delaware corporation (the
"Company"), with you concerning the consequences upon certain terminations of
your employment in connection with a change in control of the Company.
Capitalized terms used herein without definition shall have the meanings
assigned to such terms in the Letter Agreement.

            Reference is made to that certain Agreement and Plan of Merger,
dated as of October 17, 2004 (the "Merger Agreement"), by and among Select
Medical Holdings Corporation (f/k/a EGL Holding Company), a Delaware corporation
("Holdings"), EGL Acquisition Corp., a Delaware corporation ("EGL") and the
Company pursuant to which, upon the terms and subject to the conditions set
forth therein, EGL will merge with and into the Company (the "Merger") with the
Company continuing as the surviving corporation.

            In consideration of your continued employment with the Company and
other good and valuable consideration, including the mutual covenants and
agreements contained in that certain Agreement, dated as of December 20, 2004
(the "Rollover Agreement"), by and among Holdings, you and the other individuals
party thereto, pursuant to which, among other things, you agreed to contribute
your shares of stock of the Company to Holdings in exchange for shares of stock
of Holdings and to amend the Letter Agreement as set forth herein, the receipt
and sufficiency of which is hereby acknowledged, the Company and you hereby
agree, intending to be legally bound hereby, as follows:

            1. That the Merger and other transactions contemplated by the Merger
      Agreement will not be treated as a Change of Control under the terms and
      provisions of the Letter Agreement and you will forgo any change of
      control or similar payments that you would otherwise be entitled to
      receive under such provisions if the Merger or other transactions
      contemplated by the Merger Agreement or the Rollover Agreement would

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      have been treated as a Change of Control (including any gross-up or
      payments, or to reimburse you, for excise taxes resulting from such
      payments or other benefits provided under the Letter Agreement or
      otherwise in connection with the Merger and other transactions
      contemplated by the Merger Agreement or the Rollover Agreement).

            2. For the avoidance of doubt, it is understood that the
      aforementioned provisions shall remain in effect with respect to any
      future Change of Control and, except as amended hereby, the Letter
      Agreement shall continue in effect in accordance with its terms.

                  Please indicate your acceptance of the above Amendment by
signing below in the space provided.

                                        Very truly yours,

                                        SELECT MEDICAL CORPORATION

                                        By: /s/ Robert A. Ortenzio
                                            ------------------------
                                            Robert A. Ortenzio
                                            Chief Executive Officer

AGREED TO AND ACCEPTED BY:

/s/ Scott A. Romberger
-----------------------
Scott A. Romberger

                                      -2-<PAGE>

                                                                   EXHIBIT 10.43

                     FIFTH AMENDMENT TO EMPLOYMENT AGREEMENT

      THIS FIFTH AMENDMENT is made as of the 18th day of April, 2005, by and
between SELECT MEDICAL CORPORATION, a Delaware corporation (the "Employer"),
having an address c/o Select Medical Corporation, 4716 Old Gettysburg Road, P.O.
Box 2034, Mechanicsburg, Pennsylvania 17055, and DAVID W. CROSS, an individual
(the "Employee"), residing at 10 Lindworth Drive, St. Louis, Missouri 63124.

                                   BACKGROUND

      A. Employer and Employee executed and delivered that certain Employment
Agreement, dated December 16, 1998 (the "Agreement"), pursuant to which Employer
employed Employee to serve as its Senior Vice President - Development and to
develop new long term acute care hospitals for Employer and to provide other
services for Employer's businesses. All capitalized terms not specifically
defined herein shall have the meanings ascribed to them in the Agreement.

      B. The term of the Agreement was initially extended to December 31, 2001
by that certain First Amendment to Employment Agreement between Employer and
Employee, dated October 15, 2000. The term of the Agreement was later extended
to December 31, 2002 by that certain Second Amendment to Employment Agreement
between Employer and Employee, dated October 26, 2001. The term of the Agreement
was later extended to December 31, 2003 by that certain Third Amendment to
Employment Agreement between Employer and Employee, dated November 1, 2002. The
term of the Agreement was later extended to December 31, 2004 by that certain
Fourth Amendment to Employment Agreement between Employer and Employee, dated
December 31, 2003. Employer and Employee now desire to further extend the term
of the Agreement as hereinafter provided.

      NOW, THEREFORE, the parties hereto, intending to be legally bound hereby,
covenant and agree as follows:

      1. Amendment to Section 5(a). The second sentence of Section 5(a) is
hereby amended and restated as follows:

      "This Agreement shall commence on the date hereof and remain in effect,
      unless this Agreement is terminated by either party hereto, or extended by
      the written agreement of both parties hereto, until December 31, 2005.
      Thereafter, this Agreement shall continue in effect for additional periods
      of one (1) calendar year each unless either party hereto shall, at least
      sixty (60) days prior to the end of the then current term, notify the
      other party hereto of its/his decision to terminate this Agreement
      effective at the end of the term in which such notice is given."

      2. No Other Modifications. Except as expressly amended hereby, the
Agreement shall remain unmodified and in full force and effect.

      IN WITNESS WHEREOF, the parties hereto have caused this Fifth Amendment to

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Employment Agreement to be executed the day and year first above written.

                                        Employer:

                                        SELECT MEDICAL CORPORATION, a Delaware
                                        corporation

                                            /s/ Robert A. Ortenzio
                                        By: ____________________________________
                                            Robert A. Ortenzio,
                                            Chief Executive Officer

                                        Employee:

                                           /s/ David W. Cross
                                        ________________________________________
                                                 DAVID W. CROSS

                                      -2-

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