X0306 4 2014-09-17 0001411574 Surgical Care Affiliates, Inc. SCAI 0001199421 CLEMENS PETER J IV C/O SURGICAL CARE AFFILIATES, INC., 520 LAKE COOK ROAD, SUITE 250 DEERFIELD IL 60015 0 1 0 0 Chief Financial Officer Common Stock 2014-09-17 4 A 0 15679 0 A 35679 D Options to Purchase Common Stock 12.10 2021-12-08 Common Stock 87805 87805 D Options to Purchase Common Stock 9.64 2021-12-08 Common Stock 58536 58536 D Options to Purchase Common Stock 12.41 2023-05-06 Common Stock 21951 21951 D Options to Purchase Common Stock 29.02 2014-09-17 4 A 0 21106 0 A 2024-09-17 Common Stock 21106 21106 D Grant of Restricted Stock Units made to executive officers of the issuer pursuant to the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan, which is exempt under Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended. Includes 15,679 shares of Common Stock underlying Restricted Stock Units of the issuer. The Restricted Stock Units are subject to time-based vesting in equal annual installments over a period of two years from September 17, 2014 and are settled on each applicable vesting date. 73,171 of the options are performance-based options and, as of September 16, 2013, became fully vested. The remaining 14,634 options are time-based options and, as of December 8, 2012, became fully vested. All of the options are time-based options which are scheduled to vest in equal installments on December 8, 2013, December 8, 2014, December 8, 2015 and December 8, 2016. All of the options are time-based options which are scheduled to vest in equal installments on May 6, 2014, May 6, 2015, May 6, 2016 and May 6, 2017. Grant of options made to executive officers of the issuer pursuant to the Surgical Care Affiliates, Inc. 2013 Omnibus Long-Term Incentive Plan, which is exempt under Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended. All of the options are time-based options which are scheduled to vest in equal installments on September 17, 2015, September 17, 2016, September 17, 2017 and September 17, 2018. /s/ Richard L. Sharff, Jr., by power of attorney 2014-09-18