0001209191-23-024667.txt : 20230418 0001209191-23-024667.hdr.sgml : 20230418 20230418164624 ACCESSION NUMBER: 0001209191-23-024667 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230414 FILED AS OF DATE: 20230418 DATE AS OF CHANGE: 20230418 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kasenchak Priscilla CENTRAL INDEX KEY: 0001793048 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40332 FILM NUMBER: 23827384 MAIL ADDRESS: STREET 1: 1111 MARCUS AVENUE CITY: LAKE SUCCESS STATE: NY ZIP: 11042 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: agilon health, inc. CENTRAL INDEX KEY: 0001831097 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 371915147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 BUSINESS PHONE: 562-256-3800 MAIL ADDRESS: STREET 1: 6210 E HWY 290 STREET 2: SUITE 450 CITY: AUSTIN STATE: TX ZIP: 78723 FORMER COMPANY: FORMER CONFORMED NAME: Agilon Health Topco, Inc. DATE OF NAME CHANGE: 20201103 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-04-14 0 0001831097 agilon health, inc. AGL 0001793048 Kasenchak Priscilla C/O AGILON HEALTH, INC. 6210 E HWY 290, SUITE 450 AUSTIN TX 78723 0 1 0 0 Chief Accounting Officer 0 Common Stock 2023-04-14 4 A 0 4393 0.00 A 7745 D Options (Rights to Buy) 28.46 2023-04-14 4 A 0 7595 0.00 A 2033-04-14 Common Stock 7595 7595 D Restricted stock units that vest in four equal installments on each anniversary of April 14, 2023, subject to continued employment. Includes restricted stock units. Options that vest in four equal installments on each anniversary of April 14, 2023, subject to continued employment. Exhibit List: Ex.24 - Power of Attorney /s/ Mimi Yang, as Attorney-in-Fact 2023-04-18 EX-24 2 attachment1.htm EX-24 DOCUMENT
POWER OF ATTORNEY


Know all by these presents, that the undersigned hereby constitutes and appoints
each of Timothy Bensley, Denise Zamore, Mat Varghese, Steve Meetre and Mimi Yang
and each of them individually, the undersigned's true and lawful
attorney-in-fact to:

(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an Officer and/or Director of agilon health, inc. (the "Company"), (i) Forms
3, 4 and 5 and any other forms required to be filed in accordance with Section
16(a) of the Securities Exchange Act of 1934 (the "Exchange Act") and the rules
thereunder (a "Section 16 Form"), (ii) a Form ID and any other forms required to
be filed or submitted in accordance with Regulation S-T promulgated by the
United States Securities and Exchange Commission (or any successor provision) in
order to file a Section 16 Form electronically (a "Form ID", and, together with
a Section 16 Form, the "Forms and Schedules") and (iii) notices of proposed
sales of Company securities on Form 144  pursuant to Rule 144 under the
Securities Act of 1933, as amended;

(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Forms and
Schedules, complete and execute any amendment or amendments thereto, and timely
file such Forms and Schedules with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and

(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of each such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by each such attorney-in-fact on behalf
of the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as he or she may approve in his or her
discretion.

The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that each such attorney-in-fact, or his or
her substitute or substitutes, shall lawfully do or cause to be done by virtue
of this Power of Attorney and the rights and powers herein granted.  The
undersigned acknowledges that each such attorney-in-fact is serving in such
capacity at the request of the undersigned, and is not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Exchange Act.

This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file any Forms and Schedules with respect
to the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to each such attorney-in-fact.

From and after the date hereof, any Power of Attorney previously granted by the
undersigned concerning the subject matter hereof is hereby revoked.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of February 22, 2023.



      /s/ Priscilla Kasenchak
Priscilla Kasenchak