0001638833-23-000055.txt : 20230328 0001638833-23-000055.hdr.sgml : 20230328 20230328164633 ACCESSION NUMBER: 0001638833-23-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230324 FILED AS OF DATE: 20230328 DATE AS OF CHANGE: 20230328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Jason Eric CENTRAL INDEX KEY: 0001670094 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37576 FILM NUMBER: 23770211 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY, 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_168003636673490.xml FORM 4 X0407 4 2023-03-24 0 0001638833 Surgery Partners, Inc. SGRY 0001670094 Evans Jason Eric C/O SURGERY PARTNERS, INC. 340 SEVEN SPRINGS WAY, SUITE 600 BRENTWOOD TN 37027 0 1 0 0 Chief Executive Officer 0 Common Stock 2023-03-24 4 A 0 20408 0 A 434464 D The Compensation Committee approved this award of unrestricted common stock in lieu of, and in full settlement of, a portion of the cash incentive award earned by the Reporting Person under the Issuer's cash incentive plan for performance in 2022. /s/ Jennifer Baldock, Attorney-in-Fact 2023-03-28