Proposed Hospital System Transactions

The Attorney General reviews certain health care transactions under the state's health care transaction law (Minn. Stat. 145D.01), charities laws, and antitrust laws to determine compliance, including whether the transaction is in the public interest. Under Minnesota law, the Attorney General evaluates a transaction's impact on patients and the health care workforce, including how the transaction may affect health care options, access, and affordability.

Sutter Health and Allina Health

On March 17, 2026, Sutter Health and Allina Health announced they had signed a letter of intent for Allina to join Sutter Health.  While the precise details of this proposed transaction have not yet been finalized, the Office of the Minnesota Attorney General anticipates the transaction will be subject to Minnesota’s Health Care Transaction Law.

• Sutter Health is a nonprofit integrated health system headquartered in Sacramento, CA, with 27 hospitals and more than 200 clinics, imaging centers, surgery centers, and home health services. It employs about 57,000 people, including over 14,000 clinicians, serving more than 3.5 million patients primarily in Northern and Central California. 
• Allina Health is a nonprofit health system headquartered in Minneapolis, serving Minnesota and western Wisconsin.  It operates 12 hospital campuses, more than 60 primary care clinics, 20 same-day/urgent care centers, and over 100 specialty sites. It employs about 27,000 people, including 6,700 providers. 

Under the proposal, Allina would become Sutter Health’s Upper Midwest Division while retaining its name, brand and regional headquarters in Minneapolis.  Lisa Shannon would remain Allina’s President and CEO. Sutter’s President and CEO Warner Thomas would lead the combined organization. 

Community Input Opportunities

The Attorney General is interested in hearing how these and other proposed transactions may affect Minnesotans. The Minnesota Attorney General’s Office uses the information submitted by the public to evaluate the proposed transactions under existing laws, as well as to determine opportunities for changes or improvement to public policy, regulation, or state or federal law. Comments or information that members of the public submitted as part of these civil investigations are generally treated as “protected nonpublic data” under the Minnesota Government Data Practices Act.

Community Input Form and Phone Option

Individuals can complete this Health Care Transactions Community Input Form to provide written feedback. Members of the public are encouraged to contact the Attorney General’s Office about this proposed transaction and other health care transactions through the Community Input Form or by phone at (651) 296-3353 (Metro area) or (800) 657-3787 (Greater Minnesota).