X0306 5 2014-12-31 0 0 0 0000895930 AMSURG CORP AMSG 0000903095 CIGARRAN THOMAS G 701 COOL SPRINGS BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common stock 153933 D 5.250% Mandatory Convertible Preferred Stock, Series A-1 2014-12-02 5 P 0 L 1000 107.88 A 2017-07-01 Common stock 1000 D The Company's 5.250% mandatory convertible preferred stock, Series A-1 (the "Preferred Stock") will automatically convert on July 1, 2017. Holders of the Preferred Stock have the right to convert the Preferred Stock at any time prior to July 1, 2017 into shares of the Company's common stock. If the applicable market value of the Company's common stock is equal to or greater than $55.13, the fixed conversion rate will be 1.8141 shares of the Company's common stock per share of Preferred Stock, or a total of 1,814.1 shares of common stock. If the applicable market value of the Company's common stock is less than or equal to $45, the fixed conversion rate will be 2.2222 shares of the Company's common stock per share of Preferred Stock, or a total of 2,222.2 shares of common stock. If the applicable market value of the Company's common stock is more than $45.00 and less than $55.13, then the conversion rate will be equal to $100 divided by the applicable market value of the Company's stock /s/ Thomas G. Cigarran 2015-02-12