CommonSpirit brought revenue-cycle management in-house with nearly $2.8B in special charges

CommonSpirit ended its Conifer revenue-cycle contract and brought the work in-house. The move resulted in nearly $2.8 billion in contract-termination, restructuring and asset-impairment charges recognized in FY2026. This was a special-charge total, not a stated cash purchase price.

Fierce Healthcare reported FY2026 operating revenue of $42.4 billion, up 8.5%. The operating loss before special charges narrowed from $687 million to $430 million. EBITDA improved by $479 million to over $1.9 billion.

FY2026 operating revenue rose 8.5% to $42.4 billion. Before special charges, the operating loss narrowed by $257 million to $430 million.

The reported improvement excludes the special charges. The figures do not establish that insourcing caused the year’s operating improvement.

Separate transition charges from ongoing operating performance when evaluating an insourcing decision.

Management continued its operating-improvement program and identified payer complexity and rising costs as headwinds. The in-house transition and operating results should be assessed separately.