Sanford Health and Marshfield Clinic Health System Complete Merger, Advancing Rural Healthcare in the Midwest

Sanford & Marshfield: Advancing Rural Healthcare

The rural Midwest is entering a transformative era in healthcare with the merger of Sanford Health and Marshfield Clinic Health System. The two organizations, renowned for their commitment to accessible and innovative care, have united to form a single nonprofit integrated health system operating as Sanford Health. This historic development promises to reshape the delivery of healthcare across South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin, and Michigan’s Upper Peninsula.

A Bold Step for Rural Healthcare

As the largest rural health system in the United States, Sanford Health is taking a major step forward with this partnership. “Today’s historic milestone paves the way for us to advance world-class care across the rural Midwest and accelerate vital investments in the communities we have the privilege of serving,” said Bill Gassen, president and CEO of Sanford Health. The combined system aims to expand services, enhance access to care, and harness innovative technologies, ensuring that even the most rural communities can access high-quality, patient-centered healthcare.

Key Features of the Merger

The integration brings together nearly 56,000 employees, 56 hospitals, 4,500 providers, and two health plans serving more than 425,000 members. The newly established Marshfield Clinic region, now part of Sanford Health, will continue to serve Wisconsin and Michigan’s Upper Peninsula, preserving its local identity while benefiting from the broader resources and expertise of Sanford Health. Notable aspects of the merger include:

• Leadership and Governance: Dr. Brian Hoerneman, a practicing emergency medicine physician and native of Marshfield, Wisconsin, will serve as the regional president and CEO of the Marshfield Clinic region. A regional board of community leaders will oversee operations and strategy for the area.

• Integrated Health Plans: Sanford Health Plan and Security Health Plan will continue to operate under a unified management and governance structure, ensuring seamless services for members.

• Physician Involvement: Physicians will play a vital role in shaping the direction of the unified organization through a robust governance structure that includes the Marshfield Clinic region’s Physician Executive Council and representation on Sanford Health’s Council of Governors.

Commitment to Continuity and Innovation

Patients will experience no immediate changes to their care. They will continue to see the same trusted providers at the same locations, with additional resources and innovations gradually enhancing their experience. “Our partnership brings together two organizations deeply committed to advancing healthcare for the people and communities we serve in rural America,” said Dr. Hoerneman.

A Bright Future for Rural Healthcare

With this merger, Sanford Health is positioned to address the unique challenges of rural healthcare, leveraging combined expertise to ensure that individuals, regardless of location, have access to exceptional care. This partnership reflects a shared legacy of community-focused care and a mutual vision of a healthier future for all.

For more information about this significant development, visit Sanford Health or Sanford Health News.

Navigating the Earned Sick Time Act: Insights from The Alliance’s January Roundtable with Legal and Financial Experts

Thanks to a generous grant from the DTE Foundation, The Alliance held a follow up roundtable event on January 7, 2025 with Attorney Jacob Lynch from Ryan & Lynch Law and Tony Flaminio, CPA from Fleury Singler & Co PC to answer questions concerning the Earned Sick Time Act that will go into effect on February 21, 2025. Here are some resources shared during the roundtable:

Key Resources for Understanding and Complying with ESTA

1. Earned Sick Time Worksheet
Download: Sick Time Accrual.pdf

2. Earned Sick Time Act Text
Michigan Legislature Reference: MCL – Act 338 of 2018

3. Informational Brochure
Michigan Department of Labor and Economic Opportunity:
Earned Sick Time Brochure (PDF)

4. FAQs
Michigan Department of Labor and Economic Opportunity:
Frequently Asked Questions (FAQ)

5. Model Employee Handbook
National Federation of Independent Business (NFIB):
Download the Model Employee Handbook
Note: The NFIB model policy does not include ESTA-compliant language.

Recap of Previous Discussions
For those who missed the first roundtable on October 9, 2024, you can review a summary here:
Earned Sick Time Act (ESTA), Improved Workforce Opportunity Wage Act (IWOWA), and Increased Exempt Employee Salary Threshold Roundtable.