PERFORMANCE STOCK UNIT AWARD AGREEMENTPerformance Stock Unit Award Agreement • July 5th, 2016 • Surgery Partners, Inc. • Services-general medical & surgical hospitals, nec • Tennessee
Contract Type FiledJuly 5th, 2016 Company Industry JurisdictionThis agreement (the “Agreement”) evidences a grant of Performance Stock Units (“PSUs”) by Surgery Partners, Inc. (the “Company”) to the undersigned (the “Grantee”) pursuant to and subject to the terms of the Surgery Partners, Inc. 2015 Omnibus Incentive Plan (as amended from time to time, the “Plan”).