SURGERY PARTNERS, INC. 2015 OMNIBUS INCENTIVE PLAN LEVERAGED PERFORMANCE UNIT AWARD AGREEMENTLeveraged Performance Unit Award Agreement • September 8th, 2017 • Surgery Partners, Inc. • Services-general medical & surgical hospitals, nec • Tennessee
Contract Type FiledSeptember 8th, 2017 Company Industry JurisdictionThis agreement (the “Agreement”) evidences a grant of Leveraged Performance Units (“LPUs”) 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”).