Large rural health system operating 47 medical centers across 250,000 square miles
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.
Notable leadership hires: Nursing Director, Chief Financial Officer, Director of Nursing, Chief Executive Officer
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.
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.
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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