SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* WEGLICKI TIMOTHY T (Last) (First) (Middle) 400 EAST PRATT STREET SUITE 910 (Street) BALTIMORE MD 21202 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 02/05/2004	3. Issuer Name and Ticker or Trading Symbol SYMBION INC/TN [ SMBI ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) Other (specify below)	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	6,506,463	I(1)	See footnote(2)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (right to buy)	05/16/2003	05/16/2012	Common Stock	40,000(1)	$3.13(1)	I	See footnotes(2)(3)

Explanation of Responses:

1. Does not reflect a reverse stock split of the issuer's common stock expected to be effective upon the closing of the issuer's initial public offering at a ratio to be determined in the discretion of the issuer's Board of Directors, provided that such ratio will not be less than one-for-two and will not exceed one-for-six.

2. Represents the entire holding of ABS Capital Partners, L.P. ("ABS"). The reporting person is a Manager of the general partner of ABS which owns such shares. The Reporting Person disclaims beneficial ownership of all these shares except to the extent of his pecuniary interest therein. This report shall not be deemed an admission that the Reporting Person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose.

3. Represents the entire holding of ABS Capital Partners, L.P. ("ABS"). The options were given to Frederick L. Bryant, a Manager of the General Partner, who represents ABS on the Board of Directors. Mr. Bryant and Mr. Weglicki disclaim beneficial ownership of all these shares except to the extent of their pecuniary interest therein

	Timothy T. Weglicki	02/04/2004
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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