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Envision Healthcare is an American healthcare company and national hospital based physician group. In December 2016 Envison and AMSURG merged, and shortly thereafter the company's stock replaced Legg Mason in the S&P 500 index. AMSURG had unsuccessfully sought to acquire TeamHealth in 2015.The two company's businesses appeared to fit well together to provide more of hospitals' needs; AmSurg had strength in providing anesthesiologists, radiologists, and neonatologists, and had many ambulatory care centers, while Envision was strong in emergency doctors and hospital ambulance services.However, in 2017 the company began to seek ways to improve its profitability, as it was losing money and was under scrutiny due to healthcare consumers being shocked by catastrophically high medical bills from Envision's out-of-network healthcare providers.