Executive Park West II 4720 Gettysburg Rd. Mechanicsburg, PA 17055 First Addendum to Lease Agreement

Exhibit 10.74

Executive Park West II
0000 Xxxxxxxxxx Xx.
Xxxxxxxxxxxxx, XX 00000

First Addendum to Lease Agreement

This first amendment is made as of the 1st day of October, 2008, by and between Old Gettysburg Associates II, LP, a (“Landlord”), and Select Medical Corporation, a (“Tenant”).

BACKGROUND:

A.		Landlord and Tenant are parties to that certain Office Lease Agreement dated October 1, 2003 pursuant to which Landlord leased to Tenant, and Tenant leased from Landlord, approximately 8,644 rentable square feet of space in the building located at 0000 Xxxxxxxxxx Xx., Xxxxxxxxxxxxx, Xxxxxxxxxxxx. 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 October 1, 2008, the following terms contained in the Basic Lease shall be amended as follows:

	1.		Tenant will continue to lease 8,644 rentable square feet in suites 101/102/301 except that the term as of October 1, 2008 shall be on a month to month basis at a rate of $21.13 per rentable square foot. Monthly payments beginning October 1, 2008 will be $15,220.64. The Expense Stop will remain in effect per the original lease agreement.
	2.		This may be cancelled by either party with a 30 day notice.

All other terms and conditions contained in the Lease and not amended hereby remain in full force and effect.

IN WITNESS WHEREOF, Landlord and Tenant have caused this first Amendment to be duly executed.

				Landlord: Old Gettysburg Associates II, LP
WITNESS:		Illegible		By:		/s/ Xxxx Xxxxxxxx
				Select Capital Commercial Properties, Inc.
				Xxxx Xxxxxxxx, President
				Agent for Owner
				Tenant: Select Medical Corporation
ATTEST:		Illegible		By:		/s/ Xxxxxxx X. Xxxxxx
						Xxxxxxx X. Xxxxxx
						(Print name)
Name:		Illegible		Title:		Executive Vice President