0001638833-19-000022.txt : 20190319
0001638833-19-000022.hdr.sgml : 20190319
20190319151911
ACCESSION NUMBER: 0001638833-19-000022
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190315
FILED AS OF DATE: 20190319
DATE AS OF CHANGE: 20190319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COWHEY THOMAS F.
CENTRAL INDEX KEY: 0001735242
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 19691353
MAIL ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgery Partners, Inc.
CENTRAL INDEX KEY: 0001638833
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 473620923
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-234-5900
MAIL ADDRESS:
STREET 1: 310 SEVEN SPRINGS WAY
STREET 2: SUITE 500
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
wf-form4_155302313260382.xml
FORM 4
X0306
4
2019-03-15
0
0001638833
Surgery Partners, Inc.
SGRY
0001735242
COWHEY THOMAS F.
C/O SURGERY PARTNERS, INC.
310 SEVEN SPRINGS WAY, SUITE 500
BRENTWOOD
TN
37027
0
1
0
0
Chief Financial Officer
Common Stock
2019-03-15
4
A
0
14749
0
A
29498
D
Common Stock
2019-03-15
4
A
0
18628
0
A
48126
D
Stock Option (Right to Buy)
13.42
2019-03-15
4
A
0
403500
0
A
2029-03-15
Common Stock
403500.0
403500
D
Shares issued based on 2018 performance under performance stock unit awards granted to the Reporting Person on March 16, 2018. Shares will vest in two equal annual installments on each of the first two anniversaries of December 31, 2018.
Shares will vest in three equal annual installments of each of the first three anniversaries of March 15, 2019.
One-third (1/3) of the options will vest in three equal installments on each of December 31, 2020, December 31, 2021, and December 31, 2022, generally contingent upon continued employment through each applicable vesting date (the "time condition"). One-third (1/3) of the options will vest based on satisfaction of the time condition and the achievement of a closing price per share of the Issuer's Common Stock of $25.00. The remaining one-third (1/3) of the options will vest based on satisfaction of the time condition and the achievement of a closing price per share of the Issuer's Common Stock of $35.00.
/s/ Jennifer Baldock, Attorney-in-Fact
2019-03-19