0001564590-15-001460 Sample Contracts

SURGICAL CARE AFFILIATES, INC. FORM OF RESTRICTED STOCK UNIT AWARD AGREEMENT TIME-VESTING RESTRICTED STOCK UNITS
Restricted Stock Unit Award Agreement • March 10th, 2015 • Surgical Care Affiliates, Inc. • Services-specialty outpatient facilities, nec • Delaware

This Restricted Stock Unit Award Agreement (this “Agreement”) is entered into as of (the “Grant Date”), by and between Surgical Care Affiliates, Inc., a Delaware corporation (the “Company”), and , a director of the Company or one or more of its Subsidiaries (the “Participant”).

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FORM OF AMENDMENT TO NON-QUALIFIED STOCK OPTION AGREEMENT SURGICAL CARE AFFILIATES, INC.
Non-Qualified Stock Option Agreement • March 10th, 2015 • Surgical Care Affiliates, Inc. • Services-specialty outpatient facilities, nec

This AMENDMENT TO NON-QUALIFIED STOCK OPTION AGREEMENT (this “Amendment”), by and between Surgical Care Affiliates, Inc., a Delaware corporation (the “Company”), and , an employee of the Company or one or more of its Subsidiaries (the “Participant”), shall be effective as of . Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed to such terms in the Amended Incentive Plan (as defined below).

FORM OF AMENDMENT TO RESTRICTED STOCK UNIT AWARD AGREEMENT SURGICAL CARE AFFILIATES, INC.
Restricted Stock Unit Award Agreement • March 10th, 2015 • Surgical Care Affiliates, Inc. • Services-specialty outpatient facilities, nec

This AMENDMENT TO RESTRICTED STOCK UNIT AWARD AGREEMENT (this “Amendment”), by and between Surgical Care Affiliates, Inc., a Delaware corporation (the “Company”), and , an employee of the Company or one or more of its Subsidiaries (the “Participant”), shall be effective as of . Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed to such terms in the Amended Incentive Plan (as defined below).

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