EmCare Holdings Inc., or EmCare, is an American provider of physician practice management services for emergency departments, inpatient physician services or hospitals, acute care surgery, trauma and general surgery, women's and children's services, radiology / teleradiology programs and anesthesiology services. Founded in 1972, EmCare has more than 1,000 contracts with client hospitals in 42 states.

EmCare Holdings Inc.
IndustryHealth care
HeadquartersDallas, Texas
Key people
William A. Sanger, CEO
ProductsHealth care management
ParentEnvision Healthcare Holdings

Laidlaw acquired EmCare in 1997.[1] In 2004, Laidlaw sold EmCare and American Medical Response to Onex.[2] Onex formed Emergency Medical Services Corporation as the parent of its two acquisitions. EMSC went public in December of that year.[3] In 2011, EMSC was acquired by Clayton, Dubilier & Rice.[4] On June 11, 2013, EMSC changed names to Envision Healthcare Corporation and went public as EVHC.[5] AMR and Evolution Health also are a part of Envision Healthcare Corporation.

The company has been criticized for encouraging the practice of "out-of-network billing", which causes patients to be billed directly and at a much higher rate for medical services. This practice is particularly frequent in emergency room visits, in which the patient has little to no ability to choose their doctors. Researchers found that in half of 16 hospitals that used EmCare's services, out-of-network billing rose quickly and precipitously, and in the other half the out-of-network was already near 100% and did not decrease. In a larger sample of 194 hospitals in which EmCare handled billing, the average out-of-network billing rate was 62 percent, far higher than the national average. In contrast, when Emcare competitor TeamHealth took over billing in other hospitals, there was a much smaller increase in out-of-network billing.[6][7]

See also


  1. "Laidlaw to Acquire EmCare for $400 Million". 31 July 1997. Retrieved 22 April 2019 via LA Times.
  2. Reuters (7 December 2004). "Company News; Onex Will Buy Two Health Care Units from Laidlaw". Retrieved 22 April 2019 via NYTimes.com.
  3. EMS completes IPO of 8.1M shares
  4. "Clayton, Dubilier & Rice Completes $3.2 Billion Acquisition of Emergency Medical Services Corporation - Clayton Dubilier & Rice, LLC". www.cdr-inc.com. Retrieved 22 April 2019.
  5. EMSC Announces New Company Name, Unveils New Company Logo Archived 2014-10-09 at the Wayback Machine
  6. Creswell, Julie; Abelson, Reed; Sanger-Katz, Margot (24 July 2017). "The Company Behind Many Surprise Emergency Room Bills". Retrieved 22 April 2019 via NYTimes.com.
  7. Cooper, Zack; Morton, Fiona Scott; Shekita, Nathan (1 July 2017). "Surprise! Out-of-Network Billing for Emergency Care in the United States". Retrieved 22 April 2019 via National Bureau of Economic Research.
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