Originally founded as a hospital company by entrepreneur Thomas Cigarran and several other HAI executives, American Healthcorp will sprout two Nashville health care organizations with national footprints: disease management company Healthways and surgery center company AmSurg.

American Healthcorp., which will go public in 1991, divests its hospital operations in 1994 to focus on disease management.

The company spins off AmSurg in 1997 after having purchased a controlling interest in the company five years earlier. AmSurg will go on to become the nation’s largest outpatient surgery center company and among Nashville’s largest publicly traded health care companies.

American Healthcorp renames itself American Healthways, Inc. in 1999. By 2004, when the name shortens to simply Healthways, it represents one of America’s first and largest disease management companies.