Expects to exit with significantly deleveraged balance sheet and a focus on growth as a leading medical group

Nashville, Tenn. – (October 11, 2023) – Envision Healthcare today announced that the U.S. Bankruptcy Court for the Southern District of Texas, Houston Division has confirmed its Plans of Reorganization (the "Confirmed Plans").

Under the terms of the Confirmed Plans, which were approved at a hearing on October 11, 2023, Envision will eliminate 70 percent of its prepetition funded debt. Importantly, the Confirmed Plans ensure that Envision and AMSURG will remain strong partners to their valued clinicians, physician partners, clients, vendors and suppliers following the reorganization.

“I am pleased to have reached an agreement with our key stakeholders and look forward to emerging from Chapter 11 in the coming weeks,” said Envision Healthcare CEO Jim Rechtin. “The Confirmed Plans allow Envision to emerge from the process in a strong position to navigate the current healthcare environment and take advantage of future opportunities to grow while continuing to deliver high quality care to patients when they need it most. On behalf of our leadership team, I give my deepest gratitude to our clinicians, teammates, hospital partners, vendors and creditors for working through this process.”

Upon emergence in the coming weeks, Envision Healthcare and AMSURG will be separated into two stand-alone entities with separate leadership teams and owner groups. “I appreciate the collaboration with Envision leaders that has brought us to this point,” said AMSURG President Jeff Snodgrass. “We have built strong momentum as an organization that will propel our path to growth. I look forward to AMSURG’s next chapter and am grateful for the efforts of our teams, centers and physician partners that drive our success.”

The organization anticipates finalizing definitive transaction documents to consummate the Confirmed Plans over the coming weeks, subject to customary closing procedures and conditions. Envision anticipates emergence from Chapter 11 proceedings by the end of October 2023.


Kirkland & Ellis LLP is acting as legal counsel, Alvarez & Marsal LLC is acting as financial advisor, and PJT Partners LP is acting as investment banker to the organization in connection with the restructuring.

About Envision Healthcare Corporation
Envision Healthcare Corporation is a leading national medical group that delivers physician and advanced practice provider services, primarily in the areas of emergency and hospitalist medicine, anesthesiology, radiology/teleradiology and neonatology. As a leader in ambulatory surgical care, AMSURG holds ownership in more than 250 surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. In total, the medical group offers a differentiated suite of clinical solutions on a national scale with a local understanding of our communities, creating value for health systems, payers, providers and patients. For additional information, visit www.envisionhealth.com.