With 545 licensed beds, the hospital is the flagship of Sanford Health, the largest employer in the Dakotas, with 30 hospitals and a network of clinics serving five states. It changed its name from Sioux Valley Hospitals & Health System in 2007 upon receiving $400 million gift from businessman T. Denny Sanford. In 2010, Sanford recruited 75 physicians, announced plans to acquire an 80-bed hospital in Minnesota, build a new clinic in North Dakota and open two new hospitals in Minnesota and North Dakota. Among other distinctions, the medical center received national recognition for hip and knee replacement excellence from the Blue Cross and Blue Shield Association in 2010.