MACMACSanford Medical Center Fargo is the largest hospital in North Dakota, a roughly 284-bed tertiary referral center that opened in 2017 as an 11-story, one-million-square-foot campus. It is home to a Level I adult trauma center and a Level II pediatric trauma center, with neonatal and pediatric intensive care units and emergency air transport serving a three-state region. Anesthesia is delivered by an employed care-team of CRNAs and anesthesiologists supporting a broad surgical and obstetric case mix.