ed that the combined health system instead offers growth opportunities.???I???d say it???s more than a goal,??? Burkett said of the commitment to avoid layoffs. ???It???s how we do business.???Because the service areas of MeritCare, based in Fargo, and Sanford, with headquarters in Sioux Falls, S.D., did not overlap, the realignment is limited to support services, such as bookkeeping, human resour