Document:

<PAGE>

                                                                   EXHIBIT 10.45

                    FIRST AMENDMENT TO CONSULTING AGREEMENT

      THIS FIRST AMENDMENT is made as of the 18th day of April, 2005, by and
between SELECT MEDICAL CORPORATION, a Delaware corporation (the "Company"),
having an address c/o Select Medical Corporation, 4716 Old Gettysburg Road, P.O.
Box 2034, Mechanicsburg, Pennsylvania 17055, and THOMAS SCULLY, an individual
(the "Consultant"), having an address at c/o Welsh Carson Anderson & Stowe, 320
Park Avenue, 25th Floor, New York, NY 10022-6815.

                                   BACKGROUND

      A. Company and Consultant executed and delivered that certain Consulting
Agreement, dated January 1, 2004 (the "Agreement"), pursuant to which Company
engaged Consultant to provide certain consulting services as more particularly
described therein. All capitalized terms not specifically defined herein shall
have the meanings ascribed to them in the Agreement.

      B. Company and Consultant 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 2. The first sentence of Section 2 of the
Agreement is hereby amended and restated as follows:

      "The period of service of Consultant to the Company will be for a term of
      two years commencing on January 1, 2004 and terminating on December 31,
      2005 (the "Consulting Period")."

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

                  [Remainder of Page Intentionally Left Blank]

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      IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to
Consulting Agreement to be executed the day and year first above written.

                                        Company:

                                        SELECT MEDICAL CORPORATION, a Delaware
                                        corporation

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

                                        Consultant:

                                          /s/ Thomas Scully
                                        ________________________________________
                                                 Thomas Scully

                                      -2-<PAGE>

                                                                   EXHIBIT 10.46

                               AMENDMENT NO. 5 TO
                              EMPLOYMENT AGREEMENT

      This is an Amendment dated April 27, 2005 (the "Amendment") to the
Employment Agreement (as hereinafter defined) by and between SELECT MEDICAL
CORPORATION, a Delaware corporation (the "Employer"), and PATRICIA A. RICE, an
individual (the "Employee").

                                   Background

      A. The Employer and the Employee executed and delivered that certain
Employment Agreement dated as of March 1, 2000, that certain Amendment No. 1 to
Employment Agreement dated as of August 8, 2000, and that certain Amendment No.
2 to Employment Agreement dated as of February 23, 2001, that certain Amendment
No. 3 to Employment Agreement dated as of December 10, 2004, and that certain
Amendment No. 4 to Employment Agreement dated as of February 24, 2005 (as
amended, the "Employment Agreement"). The Employer and the Employee now desire
to further amend the Employment Agreement as hereinafter provided.

      B. Accordingly, and intended to be legally bound hereby, the Employer and
the Employee agree as follows: Agreement

      1. The following sentence is hereby added to the end of Section 3.05 of
the Employment Agreement:

      "The Employee will not continue to accrue or receive employee benefits
      after the end of the Term (as the Term may be extended or shortened in
      accordance with the provisions hereof or by mutual agreement of the
      parties hereto), except that, after the Employee retires, the Employer
      will continue to provide health and dental insurance policies to the
      Employee (and the Employee's eligible family members) until the Employee
      reaches the age of 65. Such policies shall be substantially similar to
      those provided to the Employee (and the Employee's eligible family
      members), and will be provided on the same basis as they were provided,
      just prior to the Employee's retirement (it being understood that the
      Employee will be required to make the same level of contribution to the
      cost of such benefits as are made by the other employees of the Employer
      who remain employed by the Employer and receive such benefits after the
      date of the Employee's retirement)."

      2. Except as amended hereby, the Employment Agreement shall continue in
effect in accordance with its terms.

<PAGE>

      IN WITNESS WHEREOF, the parties have executed this Amendment as of the
date first above written.

                                        SELECT MEDICAL CORPORATION

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

                                             /s/ Patricia A. Rice
                                            ____________________________________
                                            PATRICIA A. RICE

                                      -2-<PAGE>
                                                                   EXHIBIT 10.59

                            Old Gettysburg Associates
                            4718 Old Gettysburg Road
                             Mechanicsburg, PA 17055

                        FIFTH ADDENDUM TO LEASE APREEMENT

THIS FIFTH AMENDMENT (this "Fifth Amendment") is made as of the 19th day of
February, 2004, by and between OLD GETTYSBURG ASSOCIATES, a Pennsylvania general
partnership ("Landlord"), and SELECT MEDICAL CORPORATION, a Delaware
corporation ("Tenant").

                                BACKGROUND:

A. Landlord and Tenant are parties to that certain Office Lease Agreement dated
   June 15, 1999, (as amended by the First, Second, Third, Fourth Addendum
   thereto, the "Lease") pursuant to which Landlord leased to Tenant, and Tenant
   hired from Landlord, approximately 12,225 rentable square feet of space in
   the building located at 4718 Old Gettysburg, Road, Mechanicsburg,
   Pennsylvania. All capitalized terms not otherwise defined herein shall have
   the meanings ascribed to them in the Lease.

B. Landlord and Tenant now desire to amend the Lease as hereinafter set forth.

NOW, THEREFORE, in consideration of the mutual covenants and promises contained
herein, and intending to be legally bound hereby, Landlord and Tenant agree as
follows:

   Effective on February 19,2004, the following terms contained in the Basic
   Lease shall be amended as follows:

   1. Tenant agrees to relinquish 695 RSF in area known as Suite 407.

   2. Total area of the premises will consist of 11,530 rather than 12,225 sq
      ft.

   3. From February 19,2004 monthly rental rate for the entire 11,530 SF is
      $19,495.31 or a total Annual Base Rental rate of $233,943.70.

   All other terms and conditions contained in the Lease and not amended hereby
   remain in full force and effect.
<PAGE>
IN WITNESS WHEREOF, Landlord and Tenant have caused this Fifth Amendment to be
duly executed as of August 19, 2004

                                    Landlord:

                                    OLD GETTYSBURG ASSOCIATES
                                    a Pennsylvania general partnership

Witness: /s/ illegible              By: /s/ John Ortenzio
        ----------------------          ---------------------     Date: 8/19/04
                                            John Ortenzio
                                            General Partner

                                    Tenant:

                                    SELECT MEDICAL CORPORATION
                                    a Delaware Corporation

Attest: /s/ Michael Tarvin          By: /s/ Scott A. Romberger    Date: 9/15/04
        ----------------------          ----------------------
            Michael Tarvin                  Scott A. Romberger
            Secretary                       Vice President<PAGE>

                                                                   EXHIBIT 10.63

                                FIRST AMENDMENT
                                       TO
                 NAMING, PROMOTIONAL AND SPONSORSHIP AGREEMENT

                           Dated as of January 1, 2004

      The parties to this First Amendment to Naming, Promotional and Sponsorship
Agreement (this "Amendment") are Select Medical Corporation, a Delaware
corporation ("Sponsor"), and Philadelphia Eagles, LLC, a Pennsylvania limited
liability company ("Eagles").

                                    RECITALS

      A. NovaCare, Inc., a Delaware corporation ("NovaCare"), and Philadelphia
Eagles Limited Partnership, a Delaware limited partnership ('PELP") have entered
into a Naming, Promotional and Sponsorship Agreement dated October 1, 1997 (such
agreement, as assumed and confirmed by Sponsor pursuant to the Assumption
referred to below, and as amended hereby, the "Naming Rights Agreement"),
pursuant to which NovaCare obtained certain rights with respect to the Eagles
Team. Capitalized terms used but not defined herein have the meanings given to
them in the Naming Rights Agreement.

      B. Pursuant to a Consent and Assumption dated November 19, 1999 (the
"Assumption"), Sponsor assumed and agreed to pay, perform and discharge all of
NovaCare's liabilities and obligations under the Naming Rights Agreement,
whether matured or unmatured, fixed or contingent, and whether arising on or
after the date of the Assumption.

      C. Eagles is the successor in interest to PELP and owns and operates the
Eagles Team and has the right to grant sponsorship rights with respect to the
Eagles Team.

      D. Pursuant to the Eagles Lease, Eagles Stadium Operator, LLC ("ESO") has
the right to operate, and to exploit certain commercial, advertising and related
opportunities at, the football-based stadium located at the southeast corner of
11th Street and Pattison Avenue in Philadelphia, Pennsylvania, currently named
Lincoln Financial Field (as such stadium may be renamed from time to time, the
"New Stadium").

      E. Sponsor and Eagles now wish to amend the Naming Rights Agreement on the
terms set forth below.

      NOW, THEREFORE, in consideration of the mutual representations, warranties
and covenants contained herein, the parties agree as follows:

      1. Amendments to Naming Rights Agreement.

            (a) Article I of the Naming Rights Agreement is hereby amended as
follows:

                  (i)   A new definition of "Affiliate" is added as follows:
                        "'Affiliate' shall mean, with respect to a specified
                        Person, any other Person

<PAGE>

                        directly or indirectly controlled by, controlling, or
                        under common control with the specified Person."

                  (ii)  A new definition of "City" is added as follows: "'City'
                        shall mean The City of Philadelphia."

                  (iii) A new definition of "Commonwealth" is added as follows:
                        "'Commonwealth' shall mean The Commonwealth of
                        Pennsylvania."

                  (iv)  A new definition of "Eagles Lease" is added as follows:
                        "'Eagles Lease' shall mean the Sublease and Development
                        Agreement, dated December 7, 2001, between Eagles (as
                        successor to Philadelphia Eagles Limited Partnership, a
                        Delaware limited partnership) and the Philadelphia
                        Authority for Industrial Development ("PAID"), as
                        assigned, together with any amendments or replacements
                        thereto."

                  (v)   The definition of "Home Game" is amended by removing and
                        replacing the existing definition with the following
                        definition: "'Home Game' shall mean any Game played at
                        the New Stadium."

                  (vi)  A new definition of "Stadium Marks" is added as follows:
                        "'Stadium Marks' shall mean the logos, name, trademarks,
                        trade names, service marks and any copyrighted design
                        elements of (or related to) the New Stadium."

                  (vii) The definition of "New Stadium" is amended by removing
                        and replacing the existing definition with the following
                        definition: "'New Stadium' shall mean the football-based
                        stadium located at the southeast corner of 11th Street
                        and Pattison Avenue in Philadelphia, Pennsylvania,
                        currently named Lincoln Financial Field (as such stadium
                        may be renamed from time to time)."

                  (viii) A new definition of "NovaCare Optional Services" is
                        added as follows: "'NovaCare Optional Services" shall
                        mean those physical therapy, occupational therapy,
                        rehabilitation, conditioning and nutritional services
                        requested by the Eagles pursuant to Article V.H."

                  (ix)  A new definition of "Other Events" is added as follows:
                        "'Other Events' shall mean events held at the New
                        Stadium other than Home Games, including, without
                        limitation, (i) events sponsored or conducted by the
                        City or the Commonwealth and (ii) Private Events."

                                       2
<PAGE>

                  (x)   A new definition of "Private Events" is added as
                        follows: "'Private Events' shall mean events held at the
                        Stadium Premises that are not open to the general
                        public."

                  (xi)  A new definition of "Stadium Premises" is added as
                        follows: "'Stadium Premises' shall mean the
                        approximately 43 acres of land located at the southeast
                        corner of 11th Street and Pattison Avenue, in the
                        Thirty-Ninth Ward of the City of Philadelphia, together
                        with the New Stadium."

                  (xii) A new definition of "Stadium Standards" is added as
                        follows: "'Stadium Standards' shall mean the rules,
                        regulations, standards, guidelines and manuals governing
                        the use, occupancy and operation of the New Stadium, as
                        established and amended by ESO from time to time."

                  (xiii) The definition of "Use Restrictions" is amended by
                        removing and replacing the existing definition with the
                        following definition: "'Use Restrictions' shall mean the
                        applicable provisions of all (i) Laws; (ii) NFL Rules;
                        and (iii) contractually imposed requirements of any
                        location, site or medium where (or through which) any
                        right, benefit or privilege granted to NovaCare may be
                        held, presented or transmitted, including the Stadium
                        Standards and other restrictions imposed on users or
                        advertisers at the New Stadium, in each case, as they
                        may be adopted, amended, supplemented or otherwise
                        changed from time to time; provided, however, that
                        clause (iii) shall not include any contractual
                        requirements applicable to the NovaCare Complex that may
                        adversely affect NovaCare's rights that have not been
                        approved by NovaCare, which approval shall not be
                        unreasonably withheld, conditioned or delayed."

            (b) All references in the Naming Rights Agreement and this Amendment
to "Eagles" shall be deemed to mean Philadelphia Eagles, LLC, a Pennsylvania
limited liability company. All references in the Naming Rights Agreement and
this Amendment to "NovaCare" shall be deemed to mean Select Medical Corporation,
a Delaware corporation.

            (c) Article III.A of the Naming Rights Agreement is amended by
removing the words "will provide for NovaCare's benefit" and replacing them with
the words "will provide, or cause to be provided, for NovaCare's benefit".

            (d) Article III.B(ii) of the Naming Rights Agreement is amended by
removing and replacing the existing text in its entirety with the following:

                  "(ii) the exclusive right to receive Name recognition on the
                  facade of the main office complex; the marquee at the entrance
                  to the NovaCare Complex; the road/directional signage leading
                  to the NovaCare Complex

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<PAGE>

                  (to the extent Eagles control such signage); four (4)
                  locations in the center of the practice fields; the goal pads
                  on the practice fields; the facade of the press conference
                  podium; permanent signage in either the Eagles Team's
                  conditioning room or locker room as agreed by NovaCare and
                  Eagles; one (1) sign on NovaCare's rehabilitation center at
                  the NovaCare Complex; and on all apparel worn by key facility
                  (such as groundskeepers) and Training Staff. The precise size
                  and location of all Name recognition described under the
                  preceding sentence shall be proposed by Eagles and subject to
                  the approval of NovaCare, which shall not be unreasonably
                  withheld. All such recognition shall comply with all Use
                  Restrictions applicable to the NovaCare Complex and, subject
                  to Article XIII.B (with respect to renaming and other changes)
                  and Article V.J (with respect to apparel to be provided by
                  NovaCare), shall be created and installed by Eagles at its
                  expense, except that NovaCare shall provide any required
                  artwork and design at its expense as and when reasonably
                  requested by Eagles; and"

            (e) Article III.D of the Naming Rights Agreement is amended removing
and replacing the existing text in its entirety with the following:

                        "D. During the Term, the Eagles shall not grant any
                  Person the right to display signage on the rooftop of the main
                  office complex or the indoor practice facility at the NovaCare
                  Complex. If, at any time during the Term, the Eagles display
                  any signage on either rooftop (it being acknowledged that such
                  signage may not reference any Person other than the Eagles and
                  the Team), the Eagles will provide NovaCare with commensurate
                  signage on such rooftop."

            (f) Article III of the Naming Rights Agreement is amended by adding
the following Article III.F and Article III.G:

                        "F. NovaCare acknowledges that: (a) third parties may be
                  granted the right to use all or a portion of the New Stadium,
                  or to advertise or promote products or services at certain
                  Other Events, including, without limitation, the Super Bowl,
                  certain college or high school football games, concerts,
                  soccer games, major national or international championship
                  athletic events, (b) that during certain Other Events, Eagles
                  may be required to remove, obscure, mask, cover or obstruct
                  (collectively, "Obscure") certain of NovaCare's advertising at
                  the New Stadium if (i) reasonably necessary for the conduct or
                  performance of such Other Event, (ii) required by Law during
                  such Other Event, (iii) reasonably necessary to meet the
                  religious objections of any user of the New Stadium during
                  such Other Event, or (iv) required by the third party user of
                  the New Stadium because of exclusive sponsorship agreements it
                  may have. If the New Stadium is hosting the Olympics or the
                  Olympic Trials, if required by the sanctioning body, (x)
                  Eagles may cause any of NovaCare's signage and name
                  recognition to be Obscured for the duration of such events
                  (and for a

                                       4
<PAGE>

                  reasonable period before and after such events for set-up and
                  break-down), but in no event shall such signage or name
                  recognition be Obscured during any Home Game, (y) NovaCare
                  shall have no right to receive certain rights, benefits and
                  privileges granted to NovaCare under the this Agreement with
                  respect to such events, and (z) NovaCare acknowledges that
                  third parties (including Category Competitors) may be granted
                  the right to advertise or promote certain products and
                  services (including competing products in the Category) at the
                  New Stadium during and with respect to such events. NovaCare
                  and Eagles acknowledge and agree that none of the foregoing
                  (whether or not it includes advertising for a Category
                  Competitor or for competing products or services in the
                  Category) shall be a violation of this Agreement."

                        "G. The precise size and location of any advertising
                  opportunities at the New Stadium provided pursuant to this
                  Agreement shall be determined by Eagles in its sole
                  discretion. All of NovaCare's signage and other advertising at
                  the New Stadium (a) shall comply with and be subject to all
                  Use Restrictions applicable to the New Stadium, (b) shall be
                  subject to Eagles' approval rights under Article VI.B, and (c)
                  subject to the following three sentences, shall be initially
                  created and installed by Eagles (or its designee) at Eagles'
                  expense (except that NovaCare shall provide any required
                  artwork and design, including any revisions, at NovaCare's
                  expense in accordance with Article VI.C. In the event NovaCare
                  wishes to change, replace or reinstall any advertising sign,
                  such change, replacement or reinstallation shall (w) be at
                  NovaCare's sole cost and expense, and NovaCare shall pay all
                  related costs and expenses incurred by Eagles and their
                  respective Affiliates, (x) be performed by one or more vendors
                  previously approved by Eagles for such purpose, (y) comply
                  with all Use Restrictions, and (z) be subject to Eagles'
                  approval rights in accordance with Article VI.B. All artwork
                  and design submitted pursuant to this Article VI.G shall be
                  customary for the type of sign or other display Eagles intends
                  to display at the applicable location in the New Stadium. With
                  respect to any advertising intended for electronic display,
                  NovaCare shall provide, at NovaCare's sole cost and expense,
                  all creative elements of such advertising (including all
                  software) in the form reasonably required by Eagles. Eagles
                  shall incorporate such creative elements into the actual New
                  Stadium advertising, subject to its approval rights in
                  accordance with Article VI.B. Eagles shall only be required to
                  activate any electronic or illuminated signage during events
                  at the New Stadium other than Private Events."

            (g) Article IV.B of the Naming Rights Agreement is hereby amended by
removing and replacing the words "any new Stadium" in clause (vi) and the
defined term "Veterans Stadium" in the final parenthetical with the defined term
"the New Stadium".

            (h) Clause (i) of Article VI.B of the Naming Rights Agreement is
amended by removing and replacing the existing text in its entirety with the
following:

                                       5
<PAGE>

                        "(i) all commercials, advertisements, promotions and
                  other activities authorized by Eagles under this Agreement,
                  whether constituting a Promotion or any aspect of NovaCare
                  Marketing, and all proposed uses of the NovaCare Marks at the
                  NovaCare Complex or the New Stadium (including as part of the
                  Name) shall be subject to Eagles' review and prior approval,
                  which may be granted or withheld in Eagles' reasonable
                  discretion,"

            (i) All references in the Naming Rights Agreement and this Amendment
to "Eagles Indemnitees" shall include ESO, all other Affiliates of Eagles, and
their respective direct and indirect, past, present and future owners, officers,
directors, managers, members, partners, employees, licensees, successors and
assigns.

            (j) Article XVI of the Naming Rights Agreement is hereby amended by
removing and replacing the existing notice address for Sponsor and the Eagles
with the following notice addresses:

If to NovaCare:                     If to Eagles:

Select Medical Corporation          Philadelphia Eagles, LLC
4718 Old Gettysburg Road            NovaCare Complex
Mechanicsburg, Pennsylvania 17055   One NovaCare Way
Attention: General Counsel          Philadelphia, Pennsylvania 19145
                                    Attention: Chief Marketing Officer

                                    with a copy to the same address to
                                    the attention of Joe Banner

            (k) Article XX of the Naming Rights Agreement is hereby amended by
removing and replacing the existing text in its entirety with the following:
"Nothing in this Agreement is intended or shall be construed to give any other
Person (other than the Eagles Indemnitees and the NovaCare Indemnitees), any
legal or equitable right, remedy or claim under or in respect of this Agreement
or any provision contained in this Agreement."

            (l) Exhibit "A" to the Naming Rights Agreement is hereby amended by
removing and replacing the existing text of paragraphs 1, 2, 3, 4, 5, 10, 11,
12, 13, 14, 22, 32, 38, 41, 42 and 45 in its entirety with the words
"[Intentionally omitted.]" and by adding the following paragraphs:

                  "46. Two (2) real-time minutes of LED signage on the lower
                  fascia of the inner bowl of the New Stadium during each Eagles
                  Home Game. NovaCare will receive additional exposure at each
                  Other Event that Eagles control, the exact time of the
                  exposure to be determined based on the nature of the Other
                  Event in the Eagles' sole discretion."

                  "47. Eagles shall cause radio station WYSP ("WYSP") to provide
                  NovaCare with radio commercial inventory on WYSP having a
                  value (as

                                       6
<PAGE>

                  determined based on WYSP's standard advertising rates) of at
                  least Sixty Thousand Dollars ($60,000), as NovaCare, Eagles
                  and WYSP mutually agree prior to each NFL Season (the "WYSP
                  Package"); provided, however, that without limiting any of
                  Eagles' rights hereunder, if Eagles is unable to provide
                  NovaCare with all or any portion of the WYSP Package for any
                  reason (including, without limitation, due to WYSP's refusal
                  to agree to a proposal made by Eagles or NovaCare), NovaCare
                  shall receive substitute benefits or advertisements in lieu of
                  the WYSP Package in accordance with Article VIII.A."

                  "48. NovaCare shall receive one (1) billboard mention during
                  each preseason Game local television broadcasts produced by
                  Eagles, each Inside the Eagles television show and each
                  television show featuring the Eagles Team's starting
                  quarterback (currently entitled the "Donovan McNabb Show").
                  Each mention will be approximately 10 seconds in length."

                  "49. NovaCare shall receive the right to utilize areas of the
                  NovaCare Complex up to eight (8) times each Contract Year for
                  business purposes that are permitted under the terms of the
                  Lease and Development Agreement dated April 20, 2000 between
                  the Philadelphia Authority for Industrial Development and
                  Philadelphia Eagles Development, L.P. If NovaCare desires to
                  use the Complex, NovaCare shall submit a written proposal to
                  Eagles describing its proposed use of the Complex at least
                  thirty (30) days prior to the date of proposed use. Such
                  proposal shall set forth with specificity the audio/visual,
                  food and beverage and space requirements for such proposal.
                  Eagles shall approve or reject such request in its reasonable
                  discretion based on the existing schedule of events and other
                  uses of the Complex. The exact accommodation of NovaCare's
                  request with regard to its audio/visual, food and beverage and
                  space requirements (including, without limitation, the
                  specific areas of the Complex that may be used by NovaCare)
                  shall be determined by Eagles in its sole discretion. NovaCare
                  shall be solely responsible for all costs, expenses and
                  liabilities arising from or in connection with such use,
                  including, without limitation, any audio/visual equipment,
                  technical staff, catering or other incremental costs provided
                  by Eagles to NovaCare, and shall provide Eagles with copies of
                  all required permits and with all certificates or insurance
                  for insurance coverage in the types and amounts determined by
                  Eagles in its reasonable discretion."

                  "50. NovaCare shall receive two (2) 5' x 5' and two (2)
                  4'10.5" x 8' 10.5" fixed advertising positions located on the
                  concourse of the New Stadium. The exact display location of
                  each position shall be determined by Eagles in its sole
                  discretion. NovaCare shall provide any required artwork and
                  design, subject to approval by Eagles in accordance with
                  Article VI."

                                       7
<PAGE>

                  "51. NovaCare shall have the right to use a club area at the
                  New Stadium two (2) times per year for a private event. The
                  exact club area permitted to be used and the exact time of the
                  events shall be subject to approval by Eagles, which approval
                  Eagles may withhold in its sole discretion. Such use will only
                  be permitted on days where no Home Game, Other Event or
                  Private Event has been previously scheduled. NovaCare shall be
                  solely responsible for all costs, expenses and liabilities
                  arising from or in connection with such use, including,
                  without limitation, all catering, technical staff, sound
                  equipment or other incremental costs, and shall provide Eagles
                  with copies of all required permits and with all certificates
                  or insurance for insurance coverage in the types and amounts
                  generally required by Eagles of third-party stadium users."

                  "52. NovaCare shall receive four (4) Club Seats located in the
                  Club II level and twelve (12) lower-level seats to each
                  pre-season, regular season and playoff Home Game (excluding
                  any Super Bowl). NovaCare's right to use the Club Seats will
                  be subject to, and NovaCare shall comply with, the terms and
                  conditions of ESO's standard Club Seat License Agreement,
                  which is attached hereto as Exhibit "H" and shall be
                  incorporated into this Agreement as if expressly stated
                  herein."

                  "53. NovaCare shall have the right to use Lower Level Suite
                  #51 at each pre-season, regular season and playoff Home Game
                  (excluding the Super Bowl). NovaCare's right to use the Suite
                  will be subject to, and NovaCare shall comply with, the terms
                  and conditions ESO's standard Suite License Agreement, which
                  is attached hereto as Exhibit "I" and shall be incorporated
                  into this Agreement as if expressly stated herein."

                  "54. NovaCare shall receive four (4) cheerleader appearances
                  each year, each appearance being attended by two (2)
                  cheerleaders. Each appearance will last one (1) hour and will
                  include an autograph session. The exact cheerleaders will be
                  determined by Eagles in its sole discretion. The cost of the
                  cheerleader appearance fee and transportation will be the
                  responsibility of Eagles. The date of each appearance shall be
                  determined by Eagles in its sole discretion."

                  "55. NovaCare shall receive six (6) appearances each year by
                  the mascot of the Eagles Team. Each appearance will last one
                  (1) hour. The cost of the mascot appearance fee and
                  transportation will be the responsibility of Eagles. The date
                  of each appearance shall be determined by Eagles in its sole
                  discretion."

                  "56. NovaCare shall receive Presenting Partner status for the
                  annual 'Eagles NFL 101 for Females' Event. The date and
                  location of the event will be determined by Eagles in its sole
                  discretion. NovaCare will receive logo identification on all
                  event promotional and marketing materials

                                       8
<PAGE>

                  produced by Eagles, including general event promotional
                  advertisements and invitations, ten (10) VIP invitations to
                  the event, and one (1) corporate banner display (3' high x 5'
                  wide) at the event. NovaCare will have use of one (1) expo
                  table at and will have the opportunity to promote health
                  product and service initiatives. Eagles reserves the right to
                  designate other Presenting Partners and other sponsors for the
                  event, as determined by Eagles in its sole discretion."

                  "57. Four (4) pre-game brunch invitations to one (1) Eagles
                  Home Game. The exact Game shall be mutually determined by
                  NovaCare and Eagles."

                  "58. One (1) fixed, backlit signage position (3'8" x 15'10")
                  on the east side of the inner seating bowl of the New Stadium.
                  The exact display location shall be determined by ESO in its
                  sole discretion."

                  "59. NovaCare shall receive a small card or sign displaying
                  NovaCare's name and logo, which shall be placed in front of
                  all microphones used for press conferences in the media room
                  at the NovaCare Complex. The exact size and design of such
                  card or sign shall in all respects be subject to the Eagles'
                  approval rights under Article VI."

                  Sponsor acknowledges and agrees that each of the Promotions
                  provided for in paragraphs 46-59 above shall in all respects
                  be subject to Eagles' substitution rights under Article VIII.A
                  and Article XXI.

            (m) For purposes of the Naming Rights Agreement, Exhibit "H" and
Exhibit "I" attached hereto shall be deemed to be Exhibit "H" and Exhibit "I",
respectively, to the Naming Rights Agreement and, by this reference, shall be
incorporated into the Naming Rights Agreement as if expressly stated therein."

      2. Additional Amendments. In addition to the amendments provided for under
Section 1 above, the Naming Rights Agreement is hereby further amended as
follows:

            (a) The first sentence of Article IV.C of the Naming Rights
Agreement shall be amended by replacing the words "Except as expressly set forth
in Section III.B and IV.B" with the words "Except as expressly set forth in
Sections III.B, IV.B and V.H,".

            (b) The last sentence of Article IV.C of the Naming Rights Agreement
shall be deleted.

            (c) The introductory language in Article V of the Naming Rights
Agreement shall be amended by replacing the words "Required Products and
Services" with the words "NovaCare Optional Services".

            (d) Article V.H of the Naming Rights Agreement shall be replaced in
its entirety with the following:

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<PAGE>

                "H. The Eagles shall be responsible for obtaining (but shall
have no liability to NovaCare if it fails to obtain) all rehabilitation,
occupational therapy, physical therapy, conditioning and nutritional services,
all medical and training supplies, and all rehabilitation equipment as may be
required from time to time by the Eagles and the coaches and players of the
Eagles Team and, except as expressly provided in this Article V.H, NovaCare
shall have neither the right nor the obligation to provide or pay for any such
products or services. NovaCare shall have no approval or consultation rights in
connection with the hiring or termination of any member of the Eagles' Training
Staff or any reporting function changes. If the Eagles wish to acquire any
rehabilitation, occupational therapy, physical therapy, conditioning and
nutritional services for its coaches or players, then NovaCare shall have the
first opportunity to provide such NovaCare Optional Services. In such event,
before soliciting or acquiring such services from any third party, the Eagles
will request that NovaCare provide the Eagles with an estimate of the cost of
the requested NovaCare Optional Services (an "Estimate") and, if NovaCare elects
to provide such services, NovaCare's Estimate shall offer to provide such
requested services at a price equal to the lowest price NovaCare charges any
customer for similar services within the Philadelphia market. Notwithstanding
the foregoing, however, (i) NovaCare shall have the right, in its sole
discretion, to elect not to provide any particular NovaCare Optional Service,
and (ii) if either (A) the Eagles are in any way dissatisfied with the price,
quality or timing of the requested NovaCare Optional Services or (B) NovaCare
does not supply the requested NovaCare Optional Services, then the Eagles shall
have the right, in its sole discretion, to acquire any and all such services
from any third party (including, without limitation, a Category Competitor),
provided that such third party is not granted the right to identify itself as a
supplier to the Eagles. With respect to medical training supplies,
rehabilitation equipment and, with the exception of NovaCare Optional Services,
all other products and services in the Category, the Eagles shall have the
unrestricted right to solicit or acquire such products or services (or any brand
thereof) from any person or entity."

            (e) Article V.I of the Naming Rights Agreement shall be replaced in
its entirety with the following:

                "I. If and only to the extent requested by the Eagles, NovaCare
shall take all steps necessary to cause any member of the Eagles' Training Staff
to become an employee of the Eagles. Notwithstanding the foregoing sentence, the
Eagles shall have no obligation to hire any NovaCare employee or agent as an
employee of the Eagles unless the Eagles so elects in its sole discretion."

            (f) Article V.K of the Naming Rights Agreement shall be placed in
its entirety with the following:

                "K. During each Contract Year, NovaCare shall provide to
            Eagles, at NovaCare's sole cost and expense, fifty (50)
            complimentary magnetic resonance imaging appointments (each, an
            "MRI") for use by the Eagles' coaches, players and other full-time
            employees, as they may be allocated by the Eagles in its sole
            discretion. MRI's shall be scheduled by NovaCare on a priority
            basis, subject to NovaCare's existing

                                      10
<PAGE>

            appointments. In the event the Eagles exceed fifty (50) MRIs in any
            Contract Year, NovaCare may bill the Eagles, and the Eagles will pay
            for such MRIs, at the rate specified by the Pennsylvania Workers
            Compensation Act. If, at any time during the Term, NovaCare no
            longer provides MRIs at the NovaCare Complex, NovaCare may satisfy
            its obligations under this Article V.K by providing, in lieu of such
            MRIs, NovaCare Optional Services or other products or services
            requested by the Eagles having substantially the same value as the
            MRIs, as determined by the agreement of the parties (or if they
            cannot agree, by an arbitrator in accordance with Article XXII)."

            (g) Article VI.A(i) of the Naming Rights Agreement shall be amended
by replacing the words "a sponsor of the Eagles and as the exclusive provider
(or "official provider" or any similar designation approved by the Eagles in
their reasonable discretion)" with the following "a sponsor of the Eagles and as
a provider (and may refer to itself as the "exclusive provider", "official
provider" or any similar designation approved by the Eagles in its reasonable
discretion)".

            (h) The second sentence of Article XIII.A of the Naming Rights
Agreement shall be amended by deleting the words "and furnish the Required
Products and Services".

            (i) Article XXI(ii) of the Naming Rights Agreement shall be deleted
in its entirety.

            (j) Article XXIV(ii) of the Naming Rights Agreement shall be deleted
in its entirety.

            (k) Exhibit "B" to the Naming Rights Agreement shall be replaced in
its entirety with Exhibit "B" attached hereto.

            (l) Exhibits "C" and "F" to the Naming Rights Agreement shall be
deleted in their entirety.

      3. Performance of Obligations by Affiliates. Sponsor acknowledges and
agrees that any action to be performed under the Naming Rights Agreement by
Eagles may be performed, in the sole discretion of Eagles, by ESO or any other
Affiliate of Eagles. Sponsor further acknowledges and agrees that, for purposes
of the Naming Rights Agreement and this Amendment, each reference to "Eagles"
shall be deemed to be a reference to the party acting in each case, be it
Eagles, ESO or any other Affiliate of Eagles.

      4. Waiver and Release. Sponsor, for itself and on behalf of its
affiliates, successors and assigns (collectively, "Releasors") forever releases
and discharges Eagles, its members and Affiliates, and any and all of their
respective direct and indirect, past, present and future members, managers,
shareholders, officers, directors, partners, owners, contractors, employees,
attorneys and agents (collectively, "Releasees"), from any and all claims,
demands, causes of action, and liabilities of any kind whatever (upon any legal
or equitable theory, whether contractual, common law, statutory, federal, state,
local or otherwise, and including but not

                                      11
<PAGE>

limited to any claims for attorneys' fees, or costs or disbursements of any
kind) (collectively, "Claims") that any of Releasors ever had, now has, or may
hereafter have against Releasees by reason of any action, omission, transaction,
or occurrence, whether known or unknown, arising out of any failure by Eagles to
provide any of the advertising, naming, promotional and other rights required to
be provided by Eagles under the Naming Rights Agreement, but solely to the
extent such failure occurred on or prior to the date of this Agreement. For the
avoidance of doubt, nothing in this Section 4 shall be deemed to release or
discharge any Claims arising out of any such failure that may occur after the
date of this Agreement.

      5. Representations and Warranties.

            (a) Eagles represents and warrants to Sponsor that Eagles is the
successor in interest to PELP. Sponsor represents and warrants to the Eagles
Parties that, pursuant to the Assumption, Sponsor (i) has assumed all
obligations of NovaCare, Inc. under the Naming Rights Agreement and (ii) has
become and, as of the date hereof, remains bound by the terms and provisions of
the Naming Rights Agreement to the extent applicable to NovaCare thereunder.

            (b) Each of Sponsor and Eagles hereby reaffirms, as of the date
hereof, its respective representations and warranties contained in Article XIX
of the Naming Rights Agreement (after giving effect to this Amendment, and
unless expressly stated to relate solely to an earlier date, in which case such
representations and warranties shall be true and correct as of such earlier
date). In addition, each of Sponsor and Eagles represents and warrants, that:
(a) such party has the full corporate (or in the case of Eagles, limited
liability company) power and legal authority to enter into and perform this
Amendment in accordance with its terms; (b) all necessary corporate (or in the
case of Eagles, limited liability company) approvals for the execution,
delivery, and performance by such party of this Amendment have been obtained;
(c) this Amendment has been duly executed and delivered by such party and
constitutes a legal, valid and binding obligation of such party enforceable in
accordance with its terms.

            (c) Sponsor represents, warrants and covenants that it (a) possesses
(and shall possess) all applicable governmental permits and approvals necessary
to conduct business in the City and the Commonwealth, (b) is not (and shall not
become) an adjudicated tax delinquent with respect to any City or Commonwealth
tax which remains unpaid, and (c) is not (and shall not become) otherwise
lawfully prohibited from doing business with the City, the Commonwealth or PAID.
Upon the reasonable request of Eagles or ESO given from time to time, Sponsor
shall provide any requesting party with such information, as they shall request
to confirm compliance with the preceding sentence. Any breach of the
representations, warranties or covenants in this Section 6(c) shall entitle
Eagles to terminate the Naming Rights Agreement under Article IX thereof.

      6. Miscellaneous

            (a) This Amendment shall be deemed to be an amendment with respect
to the Naming Rights Agreement, and the Naming Rights Agreement, as amended
hereby, is hereby ratified, approved and confirmed in each and every respect.
All references in the Naming Rights Agreement to "this Agreement," and all
references to the Naming Rights Agreement in any other

                                      12
<PAGE>

document, instrument, agreement or writing, shall hereafter be deemed to refer
to the Naming Rights Agreement as amended hereby.

            (b) This Amendment shall be governed by and construed in accordance
with the laws of the Commonwealth of Pennsylvania applicable to agreements made
and to be performed entirely in Pennsylvania.

            (c) Nothing in this Amendment shall be deemed to entitle Sponsor or
the Eagles to a consent to, or a waiver, amendment, modification or other change
of, any of the terms, conditions, obligations, covenants or agreements contained
in the Naming Rights Agreement in similar or different circumstances.

            (d) This Amendment may be executed in any number of counterparts,
each of which will be deemed an original, but all of which taken together shall
constitute one single agreement.

            (e) Except as expressly provided in this Amendment, the Naming
Rights Agreement shall not be modified, amended or waived in any respect, and
shall remain in full force and effect.

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                                      13
<PAGE>

      IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of
the date first above written.

SELECT MEDICAL CORPORATION                       PHILADELPHIA EAGLES, LLC

By: /s/ M.F. JACKSON                             By: /s/ [ILLEGIBLE]
    --------------------                             --------------------
Name: M.F. JACKSON                               Name: [ILLEGIBLE]
Title: SVP & CFO                                 Title: SVP

                                      14

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