Trinity Health cuts 10.5% of billing staff projects $1.5 billion loss from government policy changes

Trinity Health, a Michigan-based hospital system with facilities in other states, announced it would cut 10.5% of jobs within its revenue cycle department in January 2026. The system said it expects to lose $1.5 billion due to "recent and future government policy changes." The decision to outsource many non-patient-facing revenue cycle jobs to an external partner came as the system faced low reimbursement rates that don't cover the cost of care, critical staffing shortages, and the rising cost of care for underinsured and uninsured patients. One of Trinity Health's hospitals, St. Mary's Sacred Heart Hospital in rural northeast Georgia, announced in October 2025 that it was closing its maternity unit. A Trinity Health spokesperson said "more reductions" are being considered by the federal government and it is "not possible to simply absorb such a significant financial impact without making thoughtful, forward-thinking changes."