Sanford Health says it wants to open more than 300 clinics in Ghana in the next five years.
The Dakotas-based health network has opened five clinics in the African nation since 2012 and broke ground last week for a sixth. The clinics have treated more than 180,000 patients.
Sanford says in a statement that it hopes to serve 4.5 million patients annually by 2020 through a partnership with Ghana's Ministry of Health.
Sanford bills itself as the nation's largest not-for-profit rural health care system, with facilities in 126 communities in nine states. It also is developing clinics in Israel, Mexico and China.