Fairview Health Services, the Twin Cities' second-largest hospital and clinic group, is weighing a merger with South Dakota-based Sanford Health in negotiations that have triggered concerns on the part of Minnesota Attorney General Lori Swanson.
A merger could transfer control of the University of Minnesota Medical Center, a major research and teaching hospital, to a company with no history in Twin Cities health care, Swanson said. In addition, she said, Fairview is a Minnesota charitable trust with obligations to taxpayers and private donors who helped the business grow over the course of a century.
"I am troubled by the notion that a small group of people at Fairview and Sanford would conduct private discussions without the benefit of the public's input regarding a matter of such sweeping consequences for Minnesota,'' said Swanson, who disclosed that the negotiations are underway.
She said her office has learned that Fairview's board is scheduled to meet April 8 for a business retreat, presumably to discuss the Sanford matter. She has scheduled a hearing at the State Capitol on April 7 to give the issue a public airing.
A Fairview spokesman said talks with Sanford are in "very early stages'' and won't move forward unless "we and our partners at the University of Minnesota believe there is merit to a merger.'' But the company also noted that the Fairview board has a responsibility to ensure the organization's long-term sustainability. Several university officials sit on the Fairview board.
Sanford CEO Kelby Krabbenhoft confirmed that the two organizations are engaged in an "exploratory review of each organization'' and that Sanford has agreed to hold discussions with officials at the U "for the purpose of learning more about each organization.''
University General Counsel Mark Rotenberg acknowledged the talks but said the university has many questions and welcomes the attorney general's call for a public hearing. He said the U also has "very strong support'' from Gov. Mark Dayton. "Our concern about having an out-of-state owner come in and take over the management and financial affairs of our longtime Fairview partner raises a number of very important questions,'' Rotenberg said.
The university's chief concerns, Rotenberg said, center on how Sanford would support the school's medical research and clinical training missions, a franchise he said is worth hundreds of millions of dollars a year to Minnesota. Rotenberg said another question is how a takeover by Sanford might affect the current governance system under which university physicians manage campus medical facilities.