Sanford Health parted ways with longtime president and CEO Kelby Krabbenhoft on Tuesday, ending a 24-year run of leadership for Krabbenhoft at the health system formerly known as Sioux Valley. Here’s a look at some notable milestones that occurred during that time:

Getting his start

The Mankato, Minn., native embarked on a hospital administration career in 1982 and started at a small rural facility in Iowa before becoming president of St. Margaret’s Hospital in Spring Valley, Ill., and executive vice president for Sisters of Mary of the Presentation Health Corporation in Fargo.

Krabbenhoft’s vision and leadership style took shape when he headed to Joplin, Mo., to run Freeman Hospital, which had 145 beds and $32 million in annual revenue at the time in a city of 40,000. The new boss transformed it into Freeman Health System, a 389-bed, three-hospital network that brought in $270 million a year.