SCHEDULE 14A INFORMATION

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Hill-Rom Holdings, Inc.

(Name of Registrant as Specified in Its Charter)

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HILL-ROM HOLDINGS, INC.
1069 State Route 46 East
Batesville, IN 47006

February 2, 2009

Dear Shareholder:

We have previously sent to you proxy material for the annual meeting of shareholders of Hill-Rom Holdings, Inc., to be held on February 13, 2009. Your Board of Directors recommends that shareholders vote FOR each of the proposals on the agenda.

Since directors are elected by a plurality of votes cast and approval of Proposals 2, 3 and 4 requires the affirmative vote of a majority of the votes cast, your vote is important, no matter how many or how few shares you may own. Please vote TODAY by telephone, via the Internet, or by signing, dating and returning the enclosed proxy card in the envelope provided.

Very truly yours,

Patrick D. de Maynadier
Secretary