On September 1, 2026, Sanford Health and North Memorial Health completed their combination, creating a single nonprofit health system serving Minnesota and the Upper Midwest. The transaction joins Sanford’s rural healthcare network with North Memorial’s Twin Cities hospitals, clinics, and emergency medical services.

Econic Partners were retained to advise Sanford Health on the antitrust and competition issues raised by the combination. Founding Partner Jon Orszag and Senior Principal Jeff Raileanu submitted a report on the economic impact of the transaction to the Minnesota Attorney General, showing that two systems operate largely complementary provider networks and that the combination was unlikely to reduce competition in any relevant market.

Mr. Orszag and Mr. Raileanu were supported by Kailas Rajan and Matt Zachem. The team worked closely with Joshua Soven and Brittany Burke of Paul Hastings, outside counsel to Sanford Health.