0001638833-21-000012.txt : 20210120 0001638833-21-000012.hdr.sgml : 20210120 20210120154104 ACCESSION NUMBER: 0001638833-21-000012 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210101 FILED AS OF DATE: 20210120 DATE AS OF CHANGE: 20210120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brocklehurst Laura L. CENTRAL INDEX KEY: 0001839392 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 21538694 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 3 1 wf-form3_161117525022031.xml FORM 3 X0206 3 2021-01-01 0 0001638833 Surgery Partners, Inc. SGRY 0001839392 Brocklehurst Laura L. 310 SEVEN SPRINGS WAY SUITE 500 BRENTWOOD TN 37027 0 1 0 0 Chief Human Resources Officer Common Stock 26717 D Exhibit List: Exhibit 24-Power of Attorney /s/ Jennifer Baldock, Attorney-in-Fact 2021-01-20 EX-24 2 lbrocklehurstsection16poa1.htm L BROCKLEHURST POA Document
Exhibit 24


POWER OF ATTORNEY

        THE UNDERSIGNED hereby makes, constitutes and appoints each of Tom Cowhey and Jennifer Baldock (each, an “Attorney”), signing singly, with full power of substitution, a true and lawful attorney-in-fact for the undersigned, in the undersigned’s name, place and stead and on the undersigned’s behalf, to complete, execute and file with the United States Securities and Exchange Commission (the “Commission”), one or more initial statements of beneficial ownership of securities, statements of changes in beneficial ownership of securities, annual statements of beneficial ownership of securities and/or information statements pursuant to Sections 16(a), 13(d) and 13(g) of the Securities Exchange Act of 1934 and the rules and regulations thereunder, and any other amendments, forms, certificates, documents or instruments that the Attorney deems necessary or appropriate in order to comply with the requirements of said Sections 16(a), 13(d) and 13(g) and said rules and regulations.

        This Power of Attorney shall remain in effect so long as the applicable Attorney is an officer of Surgery Partners, Inc., unless a written revocation thereof is filed with the Commission prior to such date.


Dated: December 22, 2020



/s/ Laura Brocklehurst
Name: Laura Brocklehurst