Document:

<PAGE>

                                                                     Exhibit 4.8

                              ASSUMPTION AGREEMENT

         ASSUMPTION AGREEMENT, dated as of September 2, 2003, among Select
Medical Corporation, a Delaware corporation (the "Company"), the subsidiary
guarantors listed on Schedules I and II hereto (the "Subsidiary Guarantors") and
Select Medical Escrow, Inc., a Delaware corporation ("Select Medical Escrow").

                              W I T N E S S E T H:

         WHEREAS, Select Medical Escrow and U.S. Bank Trust National
Association, as trustee (the "Trustee") executed and delivered an Indenture,
dated as of August 12, 2003 (as amended, supplemented, waived or otherwise
modified, the "Indenture"), providing for the issuance of the 7 1/2% Senior
Subordinated Notes due 2013 (the "Securities") of Select Medical Escrow;

         WHEREAS, concurrently herewith, the Company and the Subsidiary
Guarantors are executing and delivering to the Trustee, pursuant to Section 501
of the Indenture, a Supplemental Indenture, dated as of the date hereof,
pursuant to which the Company is assuming Select Medical Escrow's obligations
under the Indenture and the Securities and the Subsidiary Guarantors are
guaranteeing the Company's obligations under the Indenture and the Securities;

         WHEREAS, Select Medical Escrow is a party to each of (i) the Purchase
Agreement, dated July 29, 2003 (the "Purchase Agreement"), between Select
Medical Escrow and J.P. Morgan Securities Inc., Merrill Lynch, Pierce, Fenner &
Smith Incorporated, Wachovia Capital Markets, LLC, SG Cowen Securities
Corporation, CIBC World Markets Corp., Fleet Securities, Inc. and Jefferies &
Company, Inc. (collectively, the "Initial Purchasers"), (ii) the Registration
Rights Agreement, dated as of August 12, 2003 (the "Registration Rights
Agreement"), between the Company, Select Medical Escrow and the Initial
Purchasers, (iii) the Indenture, dated as of August 12, 2003 (the "Indenture"),
among Select Medical Escrow, U.S. Bank Trust National Association, as trustee,
and the Subsidiary Guarantors party thereto, and (iv) the Escrow Agreement,
dated as of August 12, 2003 (the "Escrow Agreement" and, together with the
Purchase Agreement, the Registration Rights Agreement and the Indenture, the
"Assigned Agreements"), between the Company, Select Medical Escrow, U.S. Bank
Trust National Association, as trustee, and U.S. Bank National Association, as
escrow agent (the "Escrow Agent");

         WHEREAS, on the date hereof, Select Medical Escrow will merge with and
into the Company (the "Select Medical Escrow Merger") and in connection
therewith

                                       1
<PAGE>
will be released from further liabilities with respect to the Assigned
Agreements by operation of law;

         WHEREAS, Select Medical Escrow, pursuant to this Assumption Agreement,
desires to assign all of its right, title and interest to, and liabilities and
obligations under, the Assigned Agreements to the Company, the Company desires
to assume all of Select Medical Escrow's right, title and interest thereto and
liabilities and obligations thereunder and the Subsidiary Guarantors desire to
guarantee the liabilities and obligations thereunder; and

         WHEREAS, this Assumption Agreement has been duly authorized by all
necessary corporate action on the part of each of the Company, Select Medical
Escrow and the Subsidiary Guarantors.

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration, the receipt of which is hereby acknowledged, the
Company, the Subsidiary Guarantors and Select Medical Escrow mutually covenant
and agree:

                                   ARTICLE I

                      Assignment, Guarantee and Assumption

         Section 1.1. Assignment. Select Medical Escrow hereby grants, assigns,
conveys, sets over and delivers to the Company and its successors and assigns
all of its right, title and interest to, and liabilities and obligations under,
the Assigned Agreements, to have and hold unto the Company and its successors
and assigns forever.

         Section 1.2. Assumption. In consideration of the assignment made herein
to the Company, the Company hereby agrees to assume, pay, perform and observe
all covenants, agreements, liabilities and obligations of Select Medical Escrow
under the Assigned Agreements and the Indenture. By operation of law, pursuant
to the Select Medical Escrow Merger, Select Medical Escrow shall cease to exist
and shall thereby be released and discharged from and shall not be responsible
to any person for the discharge or performance of any duty or obligation
pursuant to or in connection with the Assigned Agreements, and the Company shall
be substituted in lieu of Select Medical Escrow as a party to each of the
Assigned Agreements. Upon and concurrently with such assignment and assumption,
the Subsidiary Guarantors agree to guarantee the payment, performance and
observance of the Company's covenants, agreements, liabilities and obligations
under the Assigned Agreements.

         Section 1.3. Further Assurances. Each of Select Medical Escrow, the
Subsidiary Guarantors and the Company shall execute such additional documents
and

                                       2
<PAGE>
instruments and take such further action as may be reasonably required or
desirable to carry out the provisions hereof.

                                   ARTICLE II

                                  Miscellaneous

         Section 2.1. Severability. In case any provision in this Assumption
Agreement shall be invalid, illegal or unenforceable, the validity, legality and
enforceability of the remaining provisions shall not in any way be affected or
impaired thereby.

         Section 2.2. Governing Law. This Assumption Agreement shall be governed
by, and construed in accordance with, the laws of the State of New York but
without giving effect to applicable principles of conflicts of law to the extent
that the application of the laws of another jurisdiction would be required
thereby.

         Section 2.3. Multiple Originals. The parties may sign any number of
copies of this Assumption Agreement, each of which shall be deemed an original,
but all of which together shall constitute one and the same instrument.

         Section 2.4. Headings. The Article and Section headings herein are
inserted for convenience of reference only, are not intended to be considered a
part hereof and shall not modify or restrict any of the terms or provisions
hereof.

                                       3
<PAGE>
                  IN WITNESS WHEREOF, the parties hereto have caused this
Assumption Agreement to be duly executed as of the date first written above.

                                        SELECT MEDICAL CORPORATION

                                        By:  /s/ Michael E. Tarvin
                                             -------------------------------
                                             Name:   Michael E. Tarvin
                                             Title:  Senior Vice President

                                        SELECT MEDICAL ESCROW, INC.

                                        By:  /s/ Michael E. Tarvin
                                             -------------------------------
                                             Name:   Michael E. Tarvin
                                             Title:  Vice President

                                        SUBSIDIARY GUARANTOR:

                                        EACH SUBSIDIARY GUARANTOR LISTED ON
                                        SCHEDULE I HERETO

                                        By:  /s/ Michael E. Tarvin
                                             -------------------------------
                                             Name:   Michael E. Tarvin
                                             Title:  Vice President

                                       4
<PAGE>
                                        SUBSIDIARY GUARANTOR:

                                        EACH SUBSIDIARY GUARANTOR LISTED ON
                                        SCHEDULE II HERETO

                                        By:  /s/ Michael E. Tarvin
                                             -------------------------------
                                             Name:   Michael E. Tarvin
                                             Title:  Vice President

                                       5
<PAGE>
                                                                      SCHEDULE I

                               COMPANY GUARANTORS

Affiliated Physical Therapists, Ltd.
Allegany Hearing and Speech, Inc.
American Transitional Hospitals, Inc.
Athens Sports Medicine Clinic, Inc.
Ather Sports Injury Clinic, Inc.
Atlantic Health Group, Inc.
Atlantic Rehabilitation Services, Inc.
Avalon Rehabilitation & Healthcare, LLC
Buendel Physical Therapy, Inc.
C.E.R. - West, Inc.
C.O.A.S.T. Institute Physical Therapy, Inc.
CCISUB, Inc.
Cenla Physical Therapy & Rehabilitation Agency, Inc.
Center for Evaluation & Rehabilitation, Inc.
Center for Physical Therapy & Sports Rehabilitation, Inc.
CenterTherapy, Inc.
Champion Physical Therapy, Inc.
Coplin Physical Therapy Associates, Inc.
Crowley Physical Therapy Clinic, Inc.
Douglas Avery & Associates, Ltd.
Elk County Physical Therapy, Inc.
Fine, Bryant & Wah, Inc.
Francis Naselli, Jr. & Stewart Rich Physical Therapists, Inc.
Gallery Physical Therapy Center, Inc.
Georgia Physical Therapy of West Georgia, Inc.
Georgia Physical Therapy, Inc.
GP Therapy, L.L.C.
Greater Sacramento Physical Therapy Associates, Inc.
<PAGE>
Grove City Physical Therapy and Sports Medicine, Inc.
Gulf Breeze Physical Therapy, Inc.
Hand Therapy Associates, Inc.
Hand Therapy and Rehabilitation Associates, Inc.
Hangtown Physical Therapy, Inc.
Hawley Physical Therapy, Inc.
Hudson Physical Therapy Services, Inc.
Human Performance and Fitness, Inc.
Indianapolis Physical Therapy and Sports Medicine, Inc.
Intensiva Healthcare Corporation
Intensiva Hospital of Greater St. Louis, Inc.
Joyner Sports Science Institute, Inc.
Joyner Sportsmedicine Institute, Inc.
Kentucky Rehabilitation Services, Inc.
Lynn M. Carlson, Inc.
Metro Rehabilitation Services, Inc.
Michigan Therapy Centre, Inc.
MidAtlantic Health Group, Inc.
Monmouth Rehabilitation, Inc.
New England Health Group, Inc.
New Mexico Physical Therapists, Inc.
Northside Physical Therapy, Inc.
NovaCare Health Group, LLC
NovaCare Occupational Health Services, Inc.
NovaCare Outpatient Rehabilitation East, Inc.
NovaCare Outpatient Rehabilitation, Inc.
NovaCare Outpatient Rehabilitation of California, Inc.
NovaCare Outpatient Rehabilitation West, Inc.
NovaCare Rehabilitation, Inc.
NW Rehabilitation Associates, Inc.
<PAGE>
P.T. Services Company
P.T. Services, Inc.
P.T. Services Rehabilitation, Inc.
Peter Trailov R.P.T. Physical Therapy Clinic, Orthopedic Rehabilitation & Sports
Medicine, Ltd.
Physical Rehabilitation Partners, Inc.
Physical Therapy Enterprises, Inc.
Physical Therapy Institute, Inc.
Physical Therapy Services of the Jersey Cape, Inc.
Physio - Associates, Inc.
Pro Active Therapy, Inc.
Pro Active Therapy of Ahoskie, Inc.
Pro Active Therapy of Gaffney, Inc.
Pro Active Therapy of Greenville, Inc.
Pro Active Therapy of North Carolina, Inc.
Pro Active Therapy of Rocky Mount, Inc.
Pro Active Therapy of South Carolina, Inc.
Pro Active Therapy of Virginia, Inc.
Professional Therapeutic Services, Inc.
Quad City Management, Inc.
RCI (Colorado), Inc.
RCI (Exertec), Inc.
RCI (Michigan), Inc.
RCI (S.P.O.R.T.), Inc.
RCI (WRS), Inc.
Rebound Oklahoma, Inc.
Redwood Pacific Therapies, Inc.
Rehab Advantage, Inc.
Rehab Managed Care of Arizona, Inc.
Rehab Provider Network - California, Inc.
Rehab Provider Network - East I, Inc.
<PAGE>
Rehab Provider Network - East II, Inc.
Rehab Provider Network - Georgia, Inc.
Rehab Provider Network - Indiana, Inc.
Rehab Provider Network - Michigan, Inc.
Rehab Provider Network - New Jersey, Inc.
Rehab Provider Network - Ohio, Inc.
Rehab Provider Network - Oklahoma, Inc.
Rehab Provider Network - Pennsylvania, Inc.
Rehab Provider Network - Washington, D.C., Inc.
Rehab Provider Network of Colorado, Inc.
Rehab Provider Network of Florida, Inc.
Rehab Provider Network of Nevada, Inc.
Rehab Provider Network of New Mexico, Inc.
Rehab Provider Network of North Carolina, Inc.
Rehab Provider Network of Texas, Inc.
Rehab Provider Network of Wisconsin, Inc.
Rehab/Work Hardening Management Associates, Ltd.
RehabClinics, Inc.
RehabClinics (GALAXY), Inc.
RehabClinics (PTA), Inc.
RehabClinics (SPT), Inc.
RehabClinics Abilene, Inc.
RehabClinics Dallas, Inc.
RehabClinics Pennsylvania, Inc.
S.T.A.R.T., Inc.
Select Air II, Inc.
Select Employment Services, Inc.
Select Hospital Investors, Inc.
Select Management Services, LLC
SelectMark, Inc.
<PAGE>
Select Medical of Kentucky, Inc.
Select Medical of Maryland, Inc.
Select Medical of New Jersey, Inc.
Select Medical of New York, Inc.
Select Medical of Ohio, Inc.
Select Medical of Pennsylvania, Inc.
Select Medical Rehabilitation Clinics, Inc.
Select Provider Networks, Inc.
Select Rehabilitation Management Services, Inc.
Select Software Ventures, LLC
Select Specialty Hospital - Akron, Inc.
Select Specialty Hospital - Albuquerque, Inc.
Select Specialty Hospital - Ann Arbor, Inc.
Select Specialty Hospital - Arizona, Inc.
Select Specialty Hospital - Battle Creek, Inc.
Select Specialty Hospital - Beech Grove, Inc.
Select Specialty Hospital - Bloomington, Inc.
Select Specialty Hospital - Boston, Inc.
Select Specialty Hospital - Central Detroit, Inc.
Select Specialty Hospital - Charleston, Inc.
Select Specialty Hospital - Cincinnati, Inc.
Select Specialty Hospital - Columbus, Inc.
Select Specialty Hospital - Columbus/Grant, Inc.
Select Specialty Hospital - Columbus/University, Inc.
Select Specialty Hospital - Conroe, Inc.
Select Specialty Hospital - Dallas, Inc.
Select Specialty Hospital - Denver, Inc.
Select Specialty Hospital - Durham, Inc.
Select Specialty Hospital - Erie, Inc.
Select Specialty Hospital - Escambia, Inc.
<PAGE>
Select Specialty Hospital - Evansville, Inc.
Select Specialty Hospital - Flint, Inc.
Select Specialty Hospital - Fort Smith, Inc.
Select Specialty Hospital - Fort Wayne, Inc.
Select Specialty Hospital - Gadsden, Inc.
Select Specialty Hospital - Greensburg, Inc.
Select Specialty Hospital - Honolulu, Inc.
Select Specialty Hospital - Houston, Inc.
Select Specialty Hospital - Huntsville, Inc.
Select Specialty Hospital - Indianapolis, Inc.
Select Specialty Hospital - Jackson, Inc.
Select Specialty Hospital - Johnstown, Inc.
Select Specialty Hospital - Kansas City, Inc.
Select Specialty Hospital - Knoxville, Inc.
Select Specialty Hospital - Lansing, Inc.
Select Specialty Hospital - Lee, Inc.
Select Specialty Hospital - Leon, Inc.
Select Specialty Hospital - Lexington, Inc.
Select Specialty Hospital - Little Rock, Inc.
Select Specialty Hospital - Louisville, Inc.
Select Specialty Hospital - Macomb County, Inc.
Select Specialty Hospital - Macon, Inc.
Select Specialty Hospital - Marion, Inc.
Select Specialty Hospital - Memphis, Inc.
Select Specialty Hospital - Milwaukee, Inc.
Select Specialty Hospital - Morgantown, Inc.
Select Specialty Hospital - Nashville, Inc.
Select Specialty Hospital - New Orleans, Inc.
Select Specialty Hospital - North Knoxville, Inc.
Select Specialty Hospital - Northwest Detroit, Inc.
<PAGE>
Select Specialty Hospital - Northwest Indiana, Inc.
Select Specialty Hospital - Oklahoma City, Inc.
Select Specialty Hospital - Oklahoma City/East Campus, Inc.
Select Specialty Hospital - Omaha, Inc.
Select Specialty Hospital - Orange, Inc.
Select Specialty Hospital - Palm Beach, Inc.
Select Specialty Hospital - Philadelphia/AEMC, Inc.
Select Specialty Hospital - Phoenix, Inc.
Select Specialty Hospital - Pittsburgh, Inc.
Select Specialty Hospital - Pontiac, Inc.
Select Specialty Hospital - Reno, Inc.
Select Specialty Hospital - Saginaw, Inc.
Select Specialty Hospital - San Antonio, Inc.
Select Specialty Hospital - Sarasota, Inc.
Select Specialty Hospital - Sioux Falls, Inc.
Select Specialty Hospital - South Dallas, Inc.
Select Specialty Hospital - Topeka, Inc.
Select Specialty Hospital - TriCities, Inc.
Select Specialty Hospital - Tulsa, Inc.
Select Specialty Hospital - Western Michigan, Inc.
Select Specialty Hospital - Western Missouri, Inc.
Select Specialty Hospital - Wichita, Inc.
Select Specialty Hospital - Wilmington, Inc.
Select Specialty Hospital - Wyandotte, Inc.
Select Specialty Hospital - Youngstown, Inc.
Select Specialty Hospital - Zanesville, Inc.
Select Specialty Hospitals, Inc.
Select Synergos, Inc.
Select Transport, Inc.
Select Unit Management, Inc.
<PAGE>
SLMC Finance Corporation
South Jersey Physical Therapy Associates, Inc.
South Jersey Rehabilitation and Sports Medicine Center, Inc.
South Philadelphia Occupational Health, Inc.
Southpointe Fitness Center, Inc.
Southwest Emergency Associates, Inc.
Southwest Physical Therapy, Inc.
Southwest Therapists, Inc.
Sports & Orthopedic Rehabilitation Services, Inc.
Stephenson-Holtz, Inc.
The Center for Physical Therapy and Rehabilitation, Inc.
The Orthopedic Sports and Industrial Rehabilitation Network, Inc.
TJ Partnership I
Treister, Inc.
Valley Group Physical Therapists, Inc.
Vanguard Rehabilitation, Inc.
Victoria Healthcare, Inc.
Wayzata Physical Therapy Center, Inc.
West Penn Rehabilitation Services, Inc.
West Side Physical Therapy, Inc.
West Suburban Health Partners, Inc.
Yuma Rehabilitation Center, Inc.
<PAGE>
                                                                     SCHEDULE II

                               KESSLER GUARANTORS

Kessler Rehabilitation Corporation
Wholly-Owned Subsidiaries of Kessler Rehabilitation Corporation
Argosy Health, LLC
Atra Services, Inc.
Community Rehab Centers of Massachusetts, Inc.
Core Rehab Management, LLC
CRF Rehabilitation Associates, Inc.
Edgewater Rehabilitation Associates, Inc.
Horizon Health & Rehabilitation, Inc.
Kessler Assisted Living Corporation
Kessler Care Center at Cedar Grove, Inc.
Kessler Care Center at Great Falls, Inc. (dissolution pending)
Kessler Care Center at St. Cloud, Inc. (dissolution pending)
Kessler Institute for Rehabilitation, Inc.
Kessler Occupational Medicine Centers, Inc.
Kessler Physical Therapy & Rehabilitation, Inc.
Kessler Rehab Centers, Inc.
Kessler Rehab of Connecticut, Inc.
Kessler Rehabilitation of Florida, Inc.
Kessler Rehabilitation of Maryland, Inc.
Kessler Rehabilitation Services, Inc.
Pennsylvania Rehab, Inc.
Physical Therapy Associates, P.C.
Wilpage, Inc.<PAGE>

                                                                   EXHIBIT 10.74

                           FIFTH AMENDMENT dated as of July 29, 2003 (this
                  "Amendment") to the Credit Agreement dated as of September 22,
                  2000 (the "Credit Agreement") as heretofore amended, among
                  Select Medical Corporation, a Delaware corporation (the
                  "Company"), Canadian Back Institute Limited, an Ontario
                  corporation and a wholly owned subsidiary of the Company
                  ("CBIL" and, together with the Company, the "Borrowers"), the
                  Lenders party thereto, JPMorgan Chase Bank (formerly The Chase
                  Manhattan Bank), as US Agent and US Collateral Agent, J.P.
                  Morgan Bank Canada (formerly The Chase Manhattan Bank of
                  Canada), as Canadian Agent and Canadian Collateral Agent, Banc
                  of America Securities, LLC, as Syndication Agent, and CIBC,
                  Inc., as Documentation Agent.

                  WHEREAS, the Borrowers have requested that the Lenders (such
term and each other capitalized term used but not otherwise defined herein
having the meaning assigned to it in the Credit Agreement) approve amendments to
certain provisions of the Credit Agreement;

                  WHEREAS, the undersigned Lenders are willing, on the terms and
subject to the conditions set forth herein, to approve such amendments to the
Credit Agreement;

                  NOW, THEREFORE, in consideration of these premises, the
Borrowers and the undersigned Lenders hereby agree as follows:

                  SECTION 1. Appointment. J.P. Morgan Bank Canada hereby resigns
as Canadian Agent and Canadian Collateral Agent and the Required Lenders, in
consultation with the Borrowers, hereby appoint JPMorgan Chase Bank, Toronto
Branch, as its successor. JPMorgan Chase Bank, Toronto Branch hereby accepts
such appointment as Canadian Agent and Canadian Collateral Agent. As of the
Amendment Effective Date (as defined in Section 4 hereof), all provisions of the
Credit Agreement, including but not limited to Article VIII thereof, shall apply
to JPMorgan Chase Bank, Toronto Branch, upon the same terms and subject to the
same conditions as provided in Article VIII thereof, mutatis mutandis.

                  SECTION 2. Amendments. Effective as of the Amendment Effective
Date (as defined in Section 4 hereof):

                  (a) The following definitions are inserted in the appropriate
alphabetical positions in Section 1.01:

                           "Fifth Amendment Effective Date" means the date on
         which the Fifth Amendment to this Agreement shall have become effective
         in accordance with its terms.

                           "Kessler" means Kessler Rehabilitation Corporation, a
         Delaware corporation.

<PAGE>

                                                                               2

                           "Kessler Acquisition" means the Acquisition of
         Kessler and the Kessler Subsidiaries pursuant to a Stock Purchase
         Agreement substantially in the form delivered to the Administrative
         Agent prior to the Fifth Amendment Effective Date.

                           "Kessler Loan Agreement" means the Loan Agreement
         dated as of December 31, 2002 among Kessler, Kessler Institute for
         Rehabilitation, Inc. and Kessler Care Center at Cedar Grove, Inc., as
         borrowers, various lenders party thereto, and Fleet National Bank, as
         agent.

                           "Kessler Subordinated Indebtedness" means
         Subordinated Indebtedness of the Company and/or Select Medical Escrow
         in an aggregate principal amount not greater than US$250,000,000 and
         subordinated guarantees in respect of such Subordinated Indebtedness by
         the US Subsidiaries (a) that shall contain covenants and events of
         default in the aggregate not less favorable to the Company than those
         described in the Preliminary Offering Memorandum dated July 21, 2003
         (the "Offering Memorandum") relating to the offering of senior
         subordinated notes by Select Medical Escrow, (b) that shall contain
         subordination provisions in the aggregate at least as favorable to the
         Lenders as those described in the Offering Memorandum and (c) that
         shall mature no earlier than, and, except as set forth in the Offering
         Memorandum, require no amortization, redemption, repurchase, prepayment
         or defeasance earlier than, six months following the latest of the US
         Term Maturity Date, the Canadian Term Maturity Date and the Revolving
         Maturity Date."

                           "Kessler Subsidiary" means each subsidiary of Kessler
         acquired pursuant to the Kessler Acquisition.

                           "Select Medical Escrow" means Select Medical Escrow,
         Inc., a Delaware corporation and a wholly owned Subsidiary of the
         Company.

                           "Select Medical Escrow Collateral Date" means the
         date 45 days after the earlier of either (a) the completion of the
         Kessler Acquisition or (b) the repayment of the Kessler Subordinated
         Indebtedness pursuant to a Special Mandatory Redemption.

                           "Special Mandatory Redemption" has the meaning set
         forth in the Offering Memorandum for the Kessler Subordinated
         Indebtedness.

                           "US Security Documents" means the US Guarantee
         Agreement, the Indemnity, Subrogation and Contribution Agreement, the
         US Security Agreement, the US Pledge Agreement, and any Mortgage
         granted by any US Subsidiary.

                  (b) The definition of "Adjusted EBITDA" in Section 1.01 is
hereby amended by adding the phrase ", up to US$10,000,000 of write-offs of
accounts receivable by Kessler and/or any Kessler Subsidiaries recorded in the
thirty days

<PAGE>

                                                                               3

immediately preceding the completion of the Kessler Acquisition" after the
phrase "in connection with the NovaCare Acquisition" therein.

                  (c) Paragraph (g) of the definition of "Collateral and
Guarantee Requirement" in Section 1.01 is hereby amended by adding to the end
thereof the following:

                  "provided that, in the case of any Mortgaged Property acquired
                  by the Company or any Subsidiary as a result of the Kessler
                  Acquisition, the requirements of this paragraph shall be
                  satisfied on or prior to the 90th day after the completion of
                  the Kessler Acquisition;"

                  (d) The definition of "Collateral and Guarantee Requirement"
in Section 1.01 is hereby amended by deleting the word "and" before "(iv)" in
the last sentence thereof and adding to the end of the last sentence thereof the
following:

                  ", (v) prior to the Select Medical Escrow Collateral Date, (A)
                  Select Medical Escrow shall not be required to execute the US
                  Security Documents (or any supplements thereto) and (B) the
                  Company and the Subsidiaries (including Select Medical Escrow)
                  shall not be required to create Liens on the assets or Equity
                  Interests of Select Medical Escrow or pledge the Equity
                  Interests of Select Medical Escrow pursuant to the US Pledge
                  Agreement and (vi) in the event that the consent of any joint
                  venture partner (other than a Loan Party) of a Kessler
                  Subsidiary is required under a joint venture agreement of such
                  Kessler Subsidiary to authorize the execution of any US
                  Security Document by such Kessler Subsidiary or the pledge of
                  the Equity Interest in such Kessler Subsidiary by any Loan
                  Party that is a holder thereof, and if such consent cannot be
                  obtained following the use of reasonable best efforts, such US
                  Security Document need not be executed by, or such Loan Party
                  need not pledge such Equity Interest in, such Kessler
                  Subsidiary, and the Collateral and Guarantee Requirement in
                  respect of such Kessler Subsidiary or such Equity Interest
                  shall not be deemed to be unsatisfied during any period when
                  the Borrowers are complying with the foregoing or in the event
                  such consent cannot, after the exercise of such efforts, be
                  obtained, provided that (A) the portion of Adjusted EBITDA
                  attributable to Kessler Subsidiaries which have not executed
                  any such US Security Document shall not exceed US$10,000,000
                  for any period of four consecutive fiscal quarters and (B) the
                  total assets of all Kessler Subsidiaries which have not
                  executed any such US Security Document shall at no time exceed
                  US$30,000,000"

                  (e) The definition of "Excess Cash Flow" in Section 1.01 is
amended by adding the phrase "and/or the Kessler Acquisition, in each case net
of the principal amount of any Indebtedness issued for the purpose of funding
such Acquisition" after the phrase "investments in cash in Permitted
Acquisitions" therein.

<PAGE>

                                                                               4

                  (f) The definition of "Indebtedness" in Section 1.01 is
amended by adding the phrase "or the Kessler Acquisition" after the phrase "in
connection with Permitted Acquisitions" in clause (b) therein.

                  (g) Section 3.03 is amended by adding the phrase "or the
Kessler Acquisition" after the phrase "with respect to any Permitted
Acquisition" therein.

                  (h) Section 3.20 is amended by adding the phrase ", the
Qualified Subordinated Indebtedness and the Kessler Subordinated Indebtedness"
after the phrase "of the Senior Subordinated Notes" therein.

                  (i) Section 5.12 is hereby amended by adding a new paragraph
(c) thereto as follows:

                           "(c) The Company will, and will cause each Subsidiary
         to, promptly after the completion of the Kessler Acquisition, execute
         any and all documents, financing statements, agreements and
         instruments, and take all such further actions (including the filing
         and recording of financing statements, fixture filings, mortgages,
         deeds of trust and other documents), which may be required under any
         applicable law, or which either the Collateral Agent or the Required
         Lenders may reasonably request, to cause the Collateral and Guarantee
         Requirement to be satisfied with respect to the Subsidiaries and assets
         acquired in the Kessler Acquisition, all at the expense of the Loan
         Parties. The Company shall, and shall cause each Subsidiary to, provide
         the Agents with such additional instruments or documents, including,
         without limitation, opinions of counsel, certified resolutions,
         incumbency certificates, third party consents and other evidences of
         authority, with respect to the Kessler Acquisition, as any Agent shall
         reasonably request."

                  (j) Section 5.16 is hereby amended by adding the phrase
"(other than lessees which have not executed any US Security Documents in
compliance with clause (vi) of the definition of "Collateral and Guarantee
Requirement")" immediately after the phrase "The Company shall cause the
lessee".

                  (k) A new Section 5.18 is added as follows:

                           "SECTION 5.18. Kessler Loan Agreement. The Company
shall ensure that, prior to or simultaneously with the completion of the Kessler
Acquisition, the Kessler Loan Agreement shall be terminated, all amounts
outstanding thereunder shall be paid in full and all Liens securing the
obligations thereunder shall be released, and the Company shall deliver to the
Administrative Agent such evidence as it shall reasonably have requested as to
the satisfaction of such requirements."

                  (l) Section 6.01 is hereby amended by deleting the word "and"
at the end of paragraph (p), deleting paragraph (q) and adding new paragraphs
(q), (r) and (s) as follows:

<PAGE>

                                                                               5

                           "(q) Liens on the property of Kessler and the Kessler
         Subsidiaries existing on the date of the completion of the Kessler
         Acquisition and listed on Schedule 6.01 (q);

                           (r) any extension, renewal or replacement of any of
         the foregoing (subject to the limitations set forth above on the
         amounts of the Liens so replaced), provided that Liens extending,
         renewing or replacing Liens permitted under paragraph (q) shall not be
         Permitted Liens if the amount secured is increased or the Liens extend
         to any additional property; and

                           (s) prior to the Select Medical Escrow Collateral
         Date, Liens on the property or Equity Interests of Select Medical
         Escrow securing Select Medical Escrow's obligations in connection with
         the Kessler Subordinated Indebtedness."

                  (m) Section 6.02 is hereby amended by deleting the word "and"
at the end of paragraph (i), replacing the period at the end of paragraph (j)
with "; and" and adding a new paragraph (k) as follows:

                           "(k) dispositions not in the ordinary course of
         business of assets acquired in connection with the Kessler Acquisition
         with an aggregate value not to exceed $30,000,000; provided that (i)
         such dispositions are made (or binding agreements to make such
         dispositions are executed) within 18 months after the completion of the
         Kessler Acquisition and (ii) the proceeds of such dispositions are (A)
         reinvested in assets to be used in the business of the Company or (B)
         applied to prepay Loans hereunder pursuant to Section 2.11, in each
         case within 180 days of the receipt of such proceeds."

                  (n) Section 6.04 is hereby amended by deleting the word "and"
at the end of paragraph (q), replacing the period at the end of paragraph (r)
with ";" and adding new paragraphs (s), (t) and (u) as follows:

                           "(s) Investments constituting the Kessler
         Acquisition;

                           (t) Investments in Select Medical Escrow in an
         aggregate amount not to exceed US$17,000,000 and Investments by Select
         Medical Escrow in the Company; and

                           (u) Investments by Kessler and the Kessler
         Subsidiaries existing on the date of completion of the Kessler
         Acquisition and listed on Schedule 6.04(u)."

                  (o) Section 6.05 is hereby amended by deleting the word "and"
at the end of paragraph (1), replacing the period at the end of paragraph (m)
with ";" and adding new paragraphs (n) and (o) as follows:

                           "(n) the Kessler Subordinated Indebtedness; and

<PAGE>

                                                                               6

                           (o) Indebtedness of Kessler and the Kessler
         Subsidiaries existing on the date of completion of the Kessler
         Acquisition and listed on Schedule 6.05(o)."

                  (p) Section 6.06 is hereby amended by adding the phrase "or,
in connection with the Kessler Subordinated Indebtedness, Select Medical Escrow"
after the phrase "other than a Subsidiary Guarantor".

                  (q) Section 6.08 is hereby amended by deleting the word "and"
at the end of paragraph (d), replacing the period at the end of paragraph (e)
with ";" and adding new paragraphs (f) and (g) as follows:

                           "(f) Contingent Obligations of Kessler and the
         Kessler Subsidiaries existing on the date of the completion of the
         Kessler Acquisition and listed on Schedule 6.08(f); and

                           (g) Contingent Obligations of the US Subsidiaries
         that constitute Kessler Subordinated Indebtedness and Contingent
         Obligations of Select Medical Escrow that arise in connection with the
         Kessler Subordinated Indebtedness."

                  (r) Section 6.09 is hereby amended by replacing the word "and"
after the phrase "Permitted Acquisitions" with "," and replacing the period at
the end of the paragraph with the following:

                  "and (c) Joint Ventures acquired by the Company or its
                  Subsidiaries as a result of the Kessler Acquisition and listed
                  on Schedule 6.09(c)."

                  (s) Section 6.13 is hereby amended by adding the phrase
"Notwithstanding the foregoing, the Company or any of its Subsidiaries may
continue to engage in any line or lines of business of Kessler or the Kessler
Subsidiaries existing at the time of the completion of the Kessler Acquisition
that does not result in the Company or any of its Subsidiaries being engaged to
any substantial extent in any line or lines of business activity other than the
operation or management of LTACHs or the Rehabilitation and Occupational Health
Business (except to the extent that the value of the assets of any such other
line or lines of business at the time of the Kessler Acquisition does not exceed
US$30,000,000).

                  (t) Section 6.15 is hereby amended by replacing the word "and"
after the phrase "permitted under Section 6.05(d)" with "," and adding the
phrase "and (iv) payments constituting the Special Mandatory Redemption" after
the phrase "the prepayment of Senior Subordinated Notes with up to US$25,000,000
(or US$45,000,000 if such Initial Public Offering is the Planned IPO) of the Net
Proceeds from such Initial Public Offering".

                  (u) Paragraph (c) of Section 6.16 is hereby amended by
 deleting the chart therein and substituting therefor the following chart:

<PAGE>

                                                                               7

<TABLE>
<CAPTION>
           Period               Maximum Leverage Ratio
----------------------------    ----------------------
<S>                             <C>
Through June 30, 2004               3.25 to 1.00
July 1, 2004 and thereafter         3.00 to 1.00
</TABLE>

                  (v) Paragraph (e) of Section 6.16 is hereby amended by adding
the phrase "or the Kessler Acquisition or Consolidated Capital Expenditures
incurred by Kessler or the Kessler Subsidiaries prior to the completion of the
Kessler Acquisition" after the phrase "consideration for Permitted
Acquisitions".

                  SECTION 3. Representations and Warranties. Each of the
Borrowers represents and warrants to each of the Lenders that, after giving
effect to the amendments contemplated hereby, (a) the representations and
warranties of such Borrower set forth in the Credit Agreement are true and
correct in all material respects on and as of the date of this Amendment, except
to the extent such representations and warranties expressly relate to an earlier
date (in which case such representations and warranties shall be true and
correct in all material respects as of the earlier date) and (b) no Default has
occurred and is continuing.

                  SECTION 4. Effectiveness. This Amendment shall become
effective as of the date (the "Amendment Effective Date") when the
Administrative Agent (or its counsel) shall have received copies hereof that,
when taken together, bear the signatures of the Borrowers and the Required
Lenders.

                  SECTION 5. Applicable Law. THIS AMENDMENT SHALL BE CONSTRUED
IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE STATE OF NEW YORK.

                  SECTION 6. No Other Amendments. Except as expressly set forth
herein, this Amendment shall not by implication or otherwise limit, impair,
constitute a waiver of, or otherwise affect the rights and remedies of any party
under, the Credit Agreement, nor alter, modify, amend or in any way affect any
of the terms, conditions, obligations, covenants or agreements contained in the
Credit Agreement, all of which are ratified and affirmed in all respects and
shall continue in full force and effect. This Amendment shall apply and be
effective only with respect to the provisions of the Credit Agreement
specifically referred to herein. This Amendment shall constitute a "Loan
Document" for all purposes of the Credit Agreement and the other Loan Documents.

                  SECTION 7. Counterparts. This Amendment may be executed in two
or more counterparts, each of which shall constitute an original, but all of
which when taken together shall constitute but one contract. Delivery of an
executed counterpart of a signature page of this Amendment by facsimile
transmission shall be as effective as delivery of a manually executed
counterpart of this Amendment.

<PAGE>

                                                                               8

                  SECTION 8. Headings. Section headings used herein are for
convenience of reference only, are not part of this Amendment and are not to
affect the construction of, or to be taken into consideration in interpreting,
this Amendment.

                  IN WITNESS WHEREOF, the Borrower and the undersigned Lenders
have caused this Amendment to be duly executed by their duly authorized
officers, all as of the date first above written.

                                     SELECT MEDICAL CORPORATION,

                                        by  /s/ Michael E. Tarvin
                                            ------------------------------
                                            Name: Michael E. Tarvin
                                            Title: Senior Vice President

                                     CANADIAN BACK INSTITUTE LIMITED,

                                        by  /s/ Michael E. Tarvin
                                            ------------------------------
                                            Name: Michael E. Tarvin
                                            Title: Vice President

                                     JPMORGAN CHASE BANK, individually
                                     and as US Agent and US Collateral Agent,

                                        by  /s/ James S. Ely, III
                                            ------------------------------
                                            Name: James S. Ely, III
                                            Title: Managing Director

                                     J.P. MORGAN BANK CANADA,
                                     individually and as retiring Canadian Agent
                                     and retiring Canadian Collateral Agent,

                                        by  /s/ Christine Chan
                                            ------------------------------
                                            Name: Christine Chan
                                            Title: Vice President

                                     JPMORGAN CHASE BANK, TORONTO BRANCH,
                                     individually and as successor
                                     Canadian Agent and successor Canadian
                                     Collateral Agent,

                                        by  /s/ Christine Chan
                                            ------------------------------
                                            Name: Christine Chan
                                            Title: Vice President
<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    Fleet National Bank

                                    by /s/ J. Nicholas cole
                                       -----------------------------------------
                                       Name:  J. Nicholas cole
                                       Title: Managing Director

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    CIBC INC.

                                    by /s/ Terence Moore
                                       -----------------------------------------
                                       Name:  TERENCE MOORE
                                       Title: EXECUTIVE DIRECTOR
                                              CIBC WORLD MARKETS CORP., AS AGENT

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    AERIES FINANCE-II LTD.
                                    By: INVESCO Senior Secured Management, Inc.
                                        As Sub-Managing Agent

                                    by /s/ Thomas H.B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H.B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    AMARA 2 FINANCE, LTD.
                                    By: INVESCO Senior Secured Management, Inc.
                                        As Financial Manager

                                    by /s/ Thomas H.B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H.B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    AVALON CAPITAL LTD.2
                                    By: INVESCO Senior Secured Management, Inc.
                                        As Portfolio Advisor

                                    by /s/ Thomas H.B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H.B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    CERES II FINANCE LTD.
                                    By: INVESCO Senior Secured Management, Inc.
                                        As Sub-Managing Agent (Financial)

                                    by /s/ Thomas H.B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H.B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                 OASIS COLLATERALIZED HIGH INCOME PORTFOLIOS-1,
                                 LTD.
                                 By: INVESCO Senior Secured Management, Inc.
                                     As Subadvisor

                                       /s/ Thomas H.B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H.B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    CHARTER VIEW PORTFOLIO
                                    By: INVESCO Senior Secured Management, Inc.
                                        As Investment Advisor

                                           /s/ Thomas H.B. Ewald
                                           -------------------------------------
                                           Name:  Thomas H.B. Ewald
                                           Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                DIVERSIFIED CREDIT PORTFOLIO LTD.
                                By: INVESCO Senior Secured Management, Inc.
                                    As Investment Advisor

                                    by /s/ Thomas H. B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H. B. Ewald
                                       Title: Authorized Signatory

<PAGE>
                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                AIM FLOATING RATE FUND
                                By: INVESCO Senior Secured Management, Inc.
                                    As Attorney in fact

                                    by /s/ Thomas H. B. Ewald
                                       ----------------------------------------
                                       Name:  Thomas H. B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                INVESCO EUROPEAN CDO I.S.A.
                                By: INVESCO Senior Secured Management, Inc.
                                    As Collateral Manager

                                    by /s/ Thomas H. B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H. B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                INVESCO CBO 2000-1 LTD.
                                By: INVESCO Senior Secured Management, Inc.
                                    As Portfolio Advisor

                                    by /s/ Thomas H. B. Ewald
                                       -----------------------------------------
                                       Name:  Thomas H. B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                SEQUILS-LIBERTY, LTD.
                                By: INVESCO Senior Secured Management, Inc.
                                    As Collateral Manager

                                    by /s/ Thomas H. B. Ewald
                                       ----------------------------------------
                                       Name:  Thomas H. B. Ewald
                                       Title: Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution

                                Wachovia Bank, National Association

                                    by: /s/ Harry E. Ellis
                                        ---------------------------------------
                                        Name:  Harry E. Ellis
                                        Title: Managing Director
                                               Senior Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                ADDISON CDO, LIMITED (#1279)
                                By: Pacific Investment Management Company LLC,
                                    as its Investment Advisor

                                    By /s/ Mohan V. Phansalkar
                                       -----------------------------------------
                                              Mohan V. Phansalkar
                                              Executive Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                ATHENA CDO, LIMITED (#1277)
                                By: Pacific Investment Management Company LLC,
                                    as its Investment Advisor

                                    By /s/ Mohan V. Phansalkar
                                       -----------------------------------------
                                              Mohan V. Phansalkar
                                              Executive Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                CAPTIVA III FINANCE LTD. (ACCT. 275),
                                as advised by Pacific Investment Management
                                Company LLC

                                By: /s/ David Dyer
                                    --------------------------------------------
                                       Name:  DAVID DYER
                                       Title: DIRECTOR

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                CAPTIVA IV FINANCE LTD. (ACCT. 1275),
                                as advised by Pacific Investment Management
                                Company LLC

                                By: /s/ David Dyer
                                    --------------------------------------------
                                       Name:  DAVID DYER
                                       Title: DIRECTOR

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                JISSEKIKUN FUNDING, LTD. (#1288)
                                By: Pacific Investment Management Company LLC,
                                    as its Investment Advisor

                                    By: /s/ Mohan V. Phansalkar
                                        ----------------------------------------
                                            Mohan V. Phansalkar
                                            Executive Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                SEQUILS-MAGNUM, LTD. (#1280)
                                By: Pacific Investment Management Company LLC,
                                    as its Investment Advisor

                                    By: /s/ Mohan V. Phansalkar
                                        ----------------------------------------
                                              Mohan V. Phansalkar
                                              Executive Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                WRIGLEY CDO, LTD. (#1285)
                                By: Pacific Investment Management Company LLC,
                                    as its Investment Advisor

                                    By: /s/ Mohan V. Phansalkar
                                        ----------------------------------------
                                               Mohan V. Phansalkar
                                               Executive Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    PNC, National Association

                                    by /s/ Jeffrey S. Delay
                                       -----------------------------------------
                                       Name:  Jeffrey S. Delay
                                       Title: Assistant Vice President

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                GENERAL ELECTRIC CAPITAL CORPORATION

                                    by /s/ Brian P. Schwinn
                                       -----------------------------------------
                                       Name:  Brian P. Schwinn
                                       Title: Duly Authorized Signatory

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                Sequils - Centurion V. Ltd.
                                American Express Asset Management Group Inc,
                                as Collateral Manager

                                  by /s/ Leanne Stavrakis
                                     ------------------------------------------
                                     Name:  Leanne Stavrakis
                                     Title: Director - Operations

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                Centurion CDO II, Ltd.
                                By: American Express Asset Management
                                    Group, Inc. as Collateral Manager

                                    by /s/ Leanne Stavrakis
                                       ---------------------------------------
                                       Name:  Leanne Stavrakis
                                       Title: Director - Operations

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                BZH Cypresstree - 1 LLC

                                by /s/ HI HUA
                                   ---------------------------------------------
                                   Name:  HI HUA
                                   Title: AUTHORIZED AGENT

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                BZH Steeling LLC

                                by /s/ HI HUA
                                   ---------------------------------------------
                                   Name:  HI HUA
                                   Title: AUTHORIZED AGENT

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                    Societe Generale

                                    by /s/ Richard Bernaf
                                       -----------------------------------------
                                       Name:  Richard Bernaf
                                       Title: Director

<PAGE>

                                                                               9

                                To approve the Fifth Amendment (the
                                "Amendment") to the Select Medical Corporation
                                Credit Agreement dated as of September 22, 2000:

                                Name of Institution:

                                CREDIT LYONNAIS NEW YORK BRANCH

                                    by /s/ Charles Heidriech
                                       -----------------------------------------
                                       Name:  Charles Heidriech
                                       Title: Senior Vice President

<PAGE>

                                                                               9

                      To approve the Fifth Amendment (the
                      "Amendment") to the Select Medical Corporation
                      Credit Agreement dated as of September 22, 2000:

                      Name of Institution:

                      Credit Suisse First Bosten

                         by /s/ Christopher Lally          /s/ Jennifer A. Pieza
                            ----------------------------------------------------
                            Name:  CHRISTOPHER LALLY       JENNIFER A. PIEZA
                            Title:  VICE PRESIDENT             ASSOCIATE

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00057-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00057-of-00352.parquet"}]]