FARGO, N.D. (AP) — Sanford Health is starting construction on a $541 million medical center in North Dakota’s largest city.

Groundbreaking for the Fargo campus was Tuesday. Sanford President and CEO Kelby Krabbenhoft called it a historic day. The facility is to open in 2016, serving  more than 4,200 patients daily.

The 10-story medical center will include 460 hospital beds, 32 operating rooms and 51 emergency department bays. By 2018 it is to be staffed by more than 260 physicians working in 48 different specialties.

Sanford already employs more than 7,500 people in Fargo and neighboring Moorhead, Minn. The new medical center will create an additional 2,000 full-time positions.

Sanford is based in Fargo and in Sioux Falls, S.D. It has a presence in more than 100 communities in seven states.

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