SEC Filings

10-12G
AMSURG CORP filed this Form 10-12G on 03/11/1997
Entire Document
 
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                            CAPITALIZATION OF AMSURG
 
     The following table sets forth the capitalization of AmSurg as of December
31, 1996. This table should be read in conjunction with AmSurg's financial
statements and notes thereto included elsewhere herein. Information with respect
to AmSurg Preferred Stock and common stock has been adjusted to give effect to
the Recapitalization, Exchange and Distribution.
 

<TABLE>
<CAPTION>
                                                                AT DECEMBER 31, 1996
                                                              -------------------------
                                                              HISTORICAL   PRO FORMA(1)
                                                              ----------   ------------
                                                                   (IN THOUSANDS)
<S>                                                           <C>          <C>
Debt:
  $12,000,000 credit agreement..............................   $ 3,158       $ 3,158
  Term note.................................................     5,030         5,030
  Other long-term debt......................................     3,647         3,647
                                                               -------       -------
          Total debt........................................    11,835        11,835
                                                               -------       -------
Minority interest...........................................     5,674         5,674
Preferred stock, no par value, 5,000,000 shares authorized,
  916,666 issued............................................
  Series A redeemable preferred stock, 500,000 shares
     outstanding............................................     1,774         1,774
  Series B convertible preferred stock, 416,666 shares
     outstanding............................................     3,208         3,208
Stockholders' Equity
  Common stock, no par value, 40,000,000 shares authorized,
     9,199,525 shares outstanding...........................    26,064            --
  Class A common stock, no par value, 25,000,000 shares
     authorized, 3,669,394 shares outstanding...............        --        10,435
  Class B common stock, no par value, 5,540,000 shares
     authorized, 5,530,131 shares outstanding...............        --        15,629
Retained earnings...........................................     2,310         1,910
                                                               -------       -------
          Total capitalization..............................   $50,865       $50,465
                                                               =======       =======
</TABLE>

 
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(1) Pro forma to give effect to the Recapitalization and Distribution.
 
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