The building is listed on the National Register of Historic Places as the Sears, Roebuck and Company Mail-Order Warehouse and Retail Store.

The city of Minneapolis acquired the site in 2001 and sold the 1979 expansion portion in 2002 to be used by the neighboring Abbott Northwestern Hospital as a parking ramp.

In 2004, Allina Health announced plans to move their corporate headquarters to the building, taking up most of the allotted office space.

[3] Residents of the Midtown Exchange fended off threats to the building from rioting and looting by patrolling the area with baseball bats.

Similar sites under construction include the 1927 Sears Mail Order Building in Los Angeles and the Crosstown Concourse (1927) in Memphis.