Does Sanford want to become the largest health care system in the Nation?

Maybe not, but it looks like they are trying;

Since Sanford Health of Sioux Falls, S.D., merged with Fargo’s MeritCare in 2009, the organization has built itself into the largest nonprofit rural health care system in the country, with facilities spread across North Dakota, South Dakota, parts of Minnesota, Iowa and Nebraska, and a market population of 2 million people.