Public Comment Talking Points

Voice Your Concerns about Sanford Health’s proposed acquisition of North Memorial Health

1. Start with who you are

  • You are a nurse or healthcare worker in Minnesota.
  • You work for Sanford Health or North Memorial Health.
  • You are submitting a comment because this acquisition could affect workers, patients, and communities across Minnesota.
  • You understand both Sanford Health and North Memorial Health play important roles in delivering care across the region.

2. Describe your position carefully

  • You have serious concerns about Sanford Health’s proposed acquisition of North Memorial Health.
  • Based on the information available so far, you do not believe this acquisition should move forward without much more transparency and clear protections for workers, patients, and communities.
  • You want the Attorney General to closely review the potential impact before allowing the transaction to proceed.
  • Sanford Health and North Memorial Health have not provided enough information about what this acquisition would mean for:
    • staffing levels
    • patient care
    • emergency and trauma services
    • local decision-making and accountability
    • the future of hospitals, clinics, and services in Minnesota communities
  • The Attorney General’s Office has already stated healthcare consolidation requires careful examination and public input.
  • Workers and communities deserve clear answers before an acquisition of this size moves forward.

3. Pick a Topic(s) to Share More About

  • Sanford has agreed to honoring the contract for Maple Grove Hospital nurses, however North Memorial must settle the first contract with these workers.  
  • The Attorney General’s review should examine how this transaction could affect:
    • staffing and retention
    • workplace protections
    • nurses’ ability to advocate for patient care improvements
  • Nurses at Maple Grove Hospital deserve the opportunity to negotiate and secure a strong first contract without disruption or pressure tied to a major healthcare acquisition.
  • Whether wages, benefits, and working conditions will be maintained
  • Whether staffing and frontline hospital jobs will be protected over time
  • Whether major operational or service decisions would ultimately move outside local communities
  • Any transaction involving major healthcare systems should be reviewed for its effect on affordability, access to care, and public health.
  • Minnesota patients and families cannot afford higher healthcare costs.
  • The Attorney General’s review should closely examine whether this acquisition could reduce competition or increase costs for patients and communities.
  • There is concern that this acquisition could lead to:
    • reduced hospital services
    • consolidation of care away from local communities
    • reductions in specialty, emergency, or trauma care capacity over time
    • decisions being centralized farther from the communities affected
  • North Memorial Health serves an important role in emergency and trauma care in Minnesota, and Sanford Health serves communities across greater Minnesota and the upper Midwest.
  • Any loss of services, staffing, or hospital capacity could further strain patients, caregivers, EMS systems, and surrounding hospitals.

4. Explain why this matters

  • Uncertainty for nurses and healthcare workers affects morale, retention, and staffing stability.
  • Instability in the healthcare workforce can affect continuity of patient care and patient outcomes.
  • Changes to hospital ownership should be evaluated based on their real impact on workers, patients, and community access to care.
  • Healthcare systems are essential public infrastructure, especially for communities that rely on emergency, trauma, and safety-net services.

5. Make an ask of the Attorney General

  • Require full public transparency about how this acquisition would affect workers, patients, services, and local communities before allowing the transaction to proceed.
  • Require clear, enforceable commitments regarding  staffing and working conditions.
  • Require safeguards to ensure this acquisition does not reduce access to hospital care, emergency care, trauma services, or specialty services.
  • Require safeguards to ensure this acquisition does not increase healthcare costs for patients and families.
  • Ensure nurses, healthcare workers, patients, and affected communities have meaningful opportunities to provide public input throughout the review process.

6. Include strong closing language

  • “At this time, I do not believe this acquisition should move forward without more transparency and enforceable protections for workers, patients, and communities.”
  • “I urge the Attorney General to require meaningful safeguards and full public accountability before this transaction is allowed to proceed.”
  • “Nurses and communities deserve clear answers before a healthcare transaction of this scale moves forward.”
  • “Healthcare decisions affecting Minnesota communities should prioritize patient care, workforce stability, and long-term access to care.”

7. Submit your input

When your draft is ready, submit your comments to the Attorney General's Community Input Form.