0001104659-23-128319.txt : 20231221
0001104659-23-128319.hdr.sgml : 20231221
20231221171755
ACCESSION NUMBER: 0001104659-23-128319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231219
FILED AS OF DATE: 20231221
DATE AS OF CHANGE: 20231221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeVeydt Wayne S
CENTRAL INDEX KEY: 0001321392
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37576
FILM NUMBER: 231506189
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surgery Partners, Inc.
CENTRAL INDEX KEY: 0001638833
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
tm2333534-2_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-12-19
0
0001638833
Surgery Partners, Inc.
SGRY
0001321392
DeVeydt Wayne S
C/O SURGERY PARTNERS, INC.
340 SEVEN SPRINGS WAY, SUITE 600
BRENTWOOD
TN
37027
1
1
0
0
Exec Chairman of the Board
0
Common Stock
2023-12-19
4
M
0
100000
12.90
A
300000
D
Common Stock
2023-12-19
4
S
0
168130
33.44
D
131870
D
Option to Purchase Common Stock
12.90
2023-12-19
4
M
0
100000
0
D
2028-01-04
Common Stock
100000
1090000
D
The option to purchase shares is fully vested.
/s/ Jennifer Baldock, Attorney-in-Fact
2023-12-21