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