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Sanford Health Tech Stack

Large rural health system operating 47 medical centers across 250,000 square miles

Hospitals and Health Care Sioux Falls, SD 10,001+ employees Nonprofit

Sanford Health is a 10,000+ person nonprofit health system running Epic, Sectra PACS, and a hybrid Microsoft-AWS infrastructure across 47 medical centers and senior care locations. The organization is actively adopting identity standards (Kerberos, OAuth, SAML, OpenID Connect) while wrestling with compliance, staffing gaps, and data integrity—typical pressure points for large health systems scaling clinical operations. Hiring remains heavily skewed toward clinical roles (1,270 healthcare positions open), with targeted engineering and security staffing (26 and 25 roles respectively) suggesting efforts to modernize internal systems and risk posture.

Tech Stack 60 technologies

Core StackEpic Systems Ruby Siemens Google Ads Google Analytics Cisco VMware Linux Microsoft Office Sectra PACS MyChart Honeywell BACnet Word Excel PowerPoint Windows Citrix XenServer Unix Citrix NetScaler Citrix XenServer Outlook Microsoft 365 Exchange Online SharePoint Teams OneDrive Microsoft Identity Manager AWS EMR+30 more
AdoptingKerberos OAuth OpenID Connect SAML

What Sanford Health Is Building

Challenges

  • Compliance with regulations
  • Staffing gaps
  • Ensuring data integrity
  • Minimizing identified threats and risks
  • Improving network performance
  • Incident response
  • Improving vulnerability management program
  • Tenant-to-tenant migrations during m&a
  • Identifying product enhancement opportunities
  • Reducing total cost of care

Active Projects

  • Nurse residency program
  • Maturing health outcomes framework
  • Customizations for data capture
  • Enhancement planning
  • Building relationships with tribal nations
  • Trauma performance improvement
  • Training curriculum updates
  • Implementation of new practice management systems
  • Custom dashboards and reporting
  • Developing education and screening programs

Hiring Activity

Steady1,500 roles · 550 in 30d

Department

Healthcare
1270
Ops
36
Engineering
26
Marketing
26
Security
25
Support
22
Finance
19
Product
19

Seniority

Mid
772
Junior
410
Senior
247
Manager
36
Lead
22
Intern
15
Principal
11
Director
8

Notable leadership hires: Nursing Director, Chief Financial Officer, Director of Nursing, Chief Executive Officer

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About Sanford Health

Sanford Health operates the largest rural health system in the U.S., serving over one million patients and 220,000 health plan members across a geographic footprint spanning 250,000 square miles in America's heartland. The organization runs 47 medical centers, 200+ senior care locations, and international clinics in eight countries, staffed by 2,800 physicians and advanced practice providers plus 170 clinical researchers. The health system is structured around clinical specialties (cancer, cardiology, orthopedics, women's health, pediatrics) and has begun maturing outcomes measurement frameworks, implementing practice management system upgrades, and strengthening relationships with tribal healthcare partners.

HeadquartersSioux Falls, SD
Company Size10,001+ employees
Hiring MarketsUnited States

Frequently Asked Questions

What is Sanford Health's tech stack?

Epic for clinical records, Sectra PACS for imaging, Microsoft 365 (Office, Teams, SharePoint, Exchange), Cisco and Citrix networking, VMware virtualization, AWS EMR for analytics, and Ruby for custom development.

What countries does Sanford Health operate in?

Headquartered in Sioux Falls, South Dakota, Sanford operates all hiring in the United States and maintains world clinics in eight countries internationally.

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