0001104659-18-074124 Sample Contracts

SURGERY PARTNERS, INC. 2015 OMNIBUS INCENTIVE PLAN STOCK-SETTLED STOCK APPRECIATION RIGHT AGREEMENT
Stock-Settled Stock Appreciation Right Agreement • December 20th, 2018 • Surgery Partners, Inc. • Services-general medical & surgical hospitals, nec

This agreement (the “Agreement”) evidences a stock-settled stock appreciation right granted by Surgery Partners, Inc. (the “Company”) to the undersigned (the “Participant”), pursuant to and subject to the terms of the Surgery Partners, Inc. 2015 Omnibus Incentive Plan (as amended from time to time, the “Plan”).

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