On the record · Other
Envision Healthcare
KKR acquired Envision in 2018 for $9.4B including $7B in debt. Became poster child for PE surprise billing in healthcare. Filed Chapter 11 in 2023 with $7.7B in debt. ~69,000 physicians and staff affected.
Also known as Emergency Medical Services Corporation
Research depth
Outcomes researched
Reviewed operating findings or a classified operating outcome are available.
Record updated Oct. 10, 2026
Current ownership
Current owner not established
This record does not identify a current owner. That absence is a gap in the record, not a conclusion about ownership.
1 ownership record has an unresolved current/former status.
Ownership and transaction history
Chronology from recorded ownership periods, transactions and reviewed outcome events. Event order does not imply causation.
June 11, 2018
Oct. 11, 2018
Date not recorded
What happened under and after ownership
Operating outcome
Operating through distress or restructuring
Filed Chapter 11 in May 2023 carrying roughly $7 billion in debt, and continued operating throughout the case.
Split into two independent companies, EVPS and AmSurg, when the plan took effect in November 2023; KKR relinquished ownership of both.
- Founded
- 1972
- Sponsor at closure
- KKR
- Cause
- Debt left at exit · with roll-up integration
- Healthcare Dive · continued operation, debt reduction, split into EVPS/AmSurg, KKR exit
- Wikipedia · EmCare, the predecessor of what became Envision Healthcare, was founded in Dallas, Texas in 1972
- Healthcare IT News · KKR took Envision Healthcare private, with the deal closing in October 2018 at a total transaction value of $9.9 billion including about $7 billion in debt fina
- Hospitalogy · Envision/EmCare grew heavily through a rollup of acquisitions, including roughly two dozen deals between 2007 and 2011, before its 2018 KKR buyout and 2023 bank
Sources and evidence
Recorded transaction sources
These support a recorded transaction row. They have not passed the separate evidence-review process.
- R1KKR Completes Acquisition of Envision Healthcare Corporation
KKR · Company announcement · Oct. 11, 2018
Supports: Recorded transaction
What we do not know
These are gaps in the public record, not findings about the organization.
- No current public ownership assessment has been published.
Help improve this record
Firsthand experience, public sources and corrections can help close the gaps above.