PE Healthcare WatchEvidence behind healthcare control

Reviewed 2026-07-12

KNAPP MEDICAL CENTER

Ownership, control, relationships, and source records for KNAPP MEDICAL CENTER.
Ownership receipt

What we can say clearly

KNAPP MEDICAL CENTER is marked as a corporate-chain case. That is separate from direct private-equity ownership, but it still belongs in the red corporate-control color family.

Finding
Prime Healthcare Foundation nonprofit system
Last reviewed
2026-07-12
Evidence
10 cited sources
Documented warningPart of a corporate hospital chain

Knapp Medical Center is not independent and is not documented as PE-owned. It is a nonprofit hospital in the Prime Healthcare Foundation system. A Texas insurer facility-based disclosure for 2024 claims identifies Small Hospital Innovations for emergency medicine. Florida corporate records and a current business profile identify physician leadership; reviewed sources did not identify a PE sponsor. Knapp switched its emergency-department contract to EmCare in December 2011, when EmCare parent EMSC was owned by Clayton, Dubilier & Rice. Current 2024 claims-based disclosure instead identifies Small Hospital Innovations, so the EmCare/CD&R link is historical, not current.

Prime Healthcare Foundation nonprofit system
Last verified Jul 2026
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Key sources

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Control Map

This leads to this

Hospital ownership/control path
Prime Healthcare FoundationHealth systemKNAPP MEDICAL CENTER

Evidence limits

Red color requiredMatched by CMS CCN 450128, facility name, city, and address.3 ownership sources checked10 total sources below
Direct PE ownershipNo documented PE ownership in reviewed sources
PE relationshipNo current PE-backed staffing relationship found; historical EmCare/CD&R emergency contract documented in 2011.
OperatorPrime Healthcare Foundation
Population served

Knapp Medical Center should be shown as Prime Healthcare Foundation system-controlled, not independent and not PE-owned.

Review Note

Why this page is published

government-corroborated

Publish major nonprofit-system control separately from current and historical clinical staffing relationships.

Ownership & Control

Detailed records, kept below the answer

Nonprofit hospital ownership/control, Prime Healthcare system affiliation, and clinical-staffing contracts are separate layers.

See the full ownership chain
owns and controls within nonprofit systemPrime Healthcare Foundation โ†’ Knapp Medical Center

Major-system control, not private-equity ownership.

current disclosed emergency-medicine groupSmall Hospital Innovations โ†’ Knapp Medical Center

Clinical staffing relationship, not hospital ownership.

historical emergency-department contractEmCare / Clayton, Dubilier & Rice โ†’ Knapp Medical Center

Historical 2011 exposure; not current.

  • Prime Healthcare Foundation nonprofit control is not private-equity ownership.
  • Prime Healthcare Services is a separate for-profit entity; CMS reports operational/managerial control at Knapp but only an OTHER association at Mission.
  • The insurer disclosure identifies facility-based physician groups for 2024 claims and does not expose every hospital vendor or contract term.
  • EmCare/CD&R is historical; current disclosure identifies Small Hospital Innovations.

Connections

Who owns, backs, staffs, or connects to this facility

Major nonprofit system-control layerPrime Healthcare FoundationNonprofit hospital owner and system ยท owner/controller

Reason the hospital is no longer shown as independent.

Current PE link searched but not foundSmall Hospital InnovationsEmergency-medicine physician group ยท current facility-based clinical group

This is a staffing relationship, not hospital ownership.

Timeline

Ownership history and events

  1. Prime Healthcare Foundation acquisition/control began

    Knapp Medical Center entered the Prime Healthcare Foundation nonprofit hospital system.

  2. Historical PE-backed emergency staffing contract

    Knapp switched its ER contract to EmCare after CD&R had acquired EmCare parent EMSC; this is historical and is not the current disclosed staffing group.

  3. controls

    Prime Healthcare Foundation owns/controls Knapp Medical Center within its nonprofit hospital system.

  4. contracts

    A Texas insurer facility-based disclosure for 2024 claims identifies Small Hospital Innovations for emergency medicine. Florida corporate records and a current business profile identify physician leadership; reviewed sources did not identify a PE sponsor.

  5. searched for current pe ownership or contract

    Reviewed ownership and current staffing sources do not support a current PE-owned hospital label or current PE-backed staffing label.

  6. historical contract

    Knapp contracted its emergency department to EmCare in 2011 while EmCare parent EMSC was owned by Clayton, Dubilier & Rice. Current disclosure names a different group.

Evidence Notes

Contradictions, limitations, and unavailable fields

Open evidence notes
Limitation

Current clinical-staffing conclusions are limited to publicly identified facility-based groups; private contract documents were not available.

Limitation

A searched-not-found PE result is not proof that no undisclosed investor or vendor relationship exists.

Limitation

The end date of the historical EmCare contract was not located; current 2024 data identifies a different group.

Direct connection

Knapp Medical Center -> Prime Healthcare Foundation: nonprofit owner/system control confirmed.

Direct connection

Knapp Medical Center -> Prime Healthcare: integrated health-system affiliation confirmed.

Direct connection

Knapp Medical Center -> Small Hospital Innovations: current emergency-medicine facility-based group identified.

Direct connection

Knapp -> EmCare / Clayton, Dubilier & Rice: historical 2011 ER contract; not current.

Action / event

Show as Prime Healthcare Foundation nonprofit system-controlled, not independent.

Action / event

Do not label as PE-owned.

Action / event

Show Small Hospital Innovations as the current disclosed emergency-medicine group, with no current PE link found.

Action / event

Preserve the 2011 EmCare/CD&R contract as historical PE-backed staffing exposure only.

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Sources

Evidence and source documents