Sanford Health
“Can a large rural integrated health system deploy consumer-grade patient financial experience technology to reduce care avoidance driven by financial barriers?”
Sanford Health is the largest rural health system in the United States, serving over 2.4 million patients across 320,000 square miles from its Sioux Falls, South Dakota headquarters. As a non-profit integrated health system, its embedded finance activity is concentrated in patient financial experience and revenue cycle management rather than traditional fintech product development. The 2024 Change Healthcare cyberattack accelerated a shift toward resilient, diversified clearinghouse infrastructure via Availity, and the 2025 Cedar partnership signals a strategic commitment to consumer-grade patient billing and payment experiences.