0001638833-22-000058.txt : 20220315 0001638833-22-000058.hdr.sgml : 20220315 20220315180351 ACCESSION NUMBER: 0001638833-22-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220311 FILED AS OF DATE: 20220315 DATE AS OF CHANGE: 20220315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brocklehurst Laura L. CENTRAL INDEX KEY: 0001839392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 22742603 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_164738181681393.xml FORM 4 X0306 4 2022-03-11 0 0001638833 Surgery Partners, Inc. SGRY 0001839392 Brocklehurst Laura L. C/O SURGERY PARTNERS, INC. 310 SEVEN SPRINGS WAY, SUITE 500 BRENTWOOD TN 37027 0 1 0 0 Chief Human Resources Officer Common Stock 2022-03-11 4 A 0 3331 54.03 A 48311 D Shares will vest in three equal annual installments of each of the first three anniversaries of March 11, 2022. /s/ Jennifer Baldock, Attorney-in-Fact 2022-03-15