I think the employee experience here varies by job code, but is generally poor for registered nurses. To be fair, both of the Dakotas are among the lowest paying states for RNs, with South Dakota being the lowest (50th). The low wages and rather skimpy benefits promotes a revolving door culture. You would be hard pressed today to maintain a decent standard of living in either of the system’s main regional centers (Fargo and Sioux Falls) on the typical Sanford RN salary as cost of living has sky rocketed in each without commensurate pay adjustments.