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By 2005 it was the largest ER outsourcer in the United States with roughly 300 client hospitals in 39 states and $550 million in sales.
The company was renamed Envision and went public again in 2013, raising $1.1 billion, giving it a market cap of $4 billion.
One way Envision hoped to cut out-of-network revenue—without taking a hit to its bottom line—was to try to get EmCare's doctors contracted at the same rates as doctors who worked for Sheridan, another outsourcing company Amsurg bought in 2014.
A competitor, TeamHealth, was taken private by Blackstone for $6.1 billion in early 2017.
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