Headquartered in Sioux Falls, South Dakota, the organization has 55,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. OR If a quality profile is not available from the hospital(s) where the applicant currently has privileges, documentation of the applicant’s hospital-based clinical activity for the past 12 months is required and must show that applicant has practiced in an emergency department that had a census equal to or exceeding 3,000 visits annually.