The short answer
Conifer Health Solutions, the billing and revenue cycle unit of Tenet Healthcare, is laying off 1,037 employees, most of them remote, according to a WARN notice filed in Texas and reported by Healthcare Dive on September 14, 2026. The notice says the layoffs are expected to be permanent and will be complete by November 2, per Healthcare Dive. These are job cuts, not relocations.
What happened
The layoffs became public through a WARN notice, which is a filing an employer must make with the state at least 60 days before a large layoff. WARNTracker, which republishes U.S. Department of Labor WARN data, lists the Conifer notice as filed on September 8, 2026, under Dallas, Texas, with an effective date of November 2, 2026. Healthcare Dive reported the filing on September 14 and said Conifer did not respond to its request for comment.
Healthcare Dive tied the cuts in part to CommonSpirit Health's decision in February 2026 to end its service contract with Conifer and sell its stake in the company. Tenet announced that deal in a press release on February 2, 2026.
Who is affected
The Texas notice covers 1,037 primarily remote employees, according to Healthcare Dive. WARNTracker lists the location as Dallas, Texas, where Tenet is based. Healthcare Dive reported that the notice says all affected employees have been notified, that no employee can "bump" a more junior colleague to keep a job, and that no union represents the workers. Neither source gave a breakdown by team or job title.
When it takes effect
Healthcare Dive reported that the cuts will be complete by November 2, 2026, and WARNTracker lists November 2 as the effective date. Sources differ on when Conifer's work for CommonSpirit ends. Healthcare Dive reported that CommonSpirit's contract expires October 30, 2026. Tenet's February 2 press release says Conifer will continue supporting CommonSpirit through the end of 2026, which will conclude its services.
What the company said
Conifer did not comment to Healthcare Dive. The reasons on record come from Tenet's February 2026 announcement. In its press release, Tenet said CommonSpirit will pay about $1.9 billion in installments over three years, and that Conifer will pay CommonSpirit about $540 million to redeem its 23.8% stake, effective January 1, 2026. Healthcare Dive reported that the CommonSpirit contract had been expected to run through 2032 and that Tenet put the total value of the deal at about $2.7 billion.
Tenet CEO Saum Sutaria said in the press release that "Tenet respects CommonSpirit's strategic imperatives." Healthcare Dive reported that on a February investor call, Sutaria said AI and offshoring would help lower Conifer's costs, and that Tenet pledged to invest in automation.
Healthcare Dive also reported that Tenet founded Conifer in 2008, that CommonSpirit had been a customer since 2012, and that Conifer has more than 600 clients.
Severance and support
Neither the WARN notice as reported by Healthcare Dive nor Tenet has described severance terms for the affected employees.
Earlier cuts at Conifer Health
WARNTracker's company page lists only this one Conifer WARN notice.
Questions people ask
How many people is Conifer Health laying off?
The Texas WARN notice covers 1,037 employees, according to Healthcare Dive and WARNTracker. Healthcare Dive reported that most of them work remotely.
When do the Conifer layoffs happen?
Healthcare Dive reported the layoffs will be complete by November 2, 2026, and WARNTracker lists November 2 as the effective date for the notice filed on September 8.
Why is Conifer cutting jobs?
Healthcare Dive tied the cuts in part to CommonSpirit Health ending its service contract with Conifer, a decision announced in February 2026. Tenet's press release said CommonSpirit will pay about $1.9 billion over three years as part of the exit.
Do the Conifer employees get severance?
No severance terms have been reported. Healthcare Dive reported that the notice says the layoffs are permanent and that no union represents the affected workers.