CHI St. Alexius Health

What CHI St. Alexius Health does

CHI St. Alexius Health is a nonprofit healthcare delivery system headquartered in Bismarck, North Dakota, operating as a subsidiary of CommonSpirit Health (formed through the merger of Catholic Health Initiatives and Dignity Health). The organization was founded in 2016 and runs 11 facilities across central and western North Dakota, including sites in Bismarck, Mandan, Minot, Dickinson, Williston, Carrington, Garrison, New Rockford, Turtle Lake, Washburn, and Beach. Its service portfolio spans emergency and trauma care, cancer care, heart care, maternity care, orthopedics, pediatrics, primary care, behavioral health, urgent care, women's health, mammography, and weight & wellness programs, serving the general patient population of rural North Dakota communities.

The organization runs on a shared electronic health records platform, leveraging EpicCare Link for patient information management and care coordination across sites, and supplements in-person delivery with digital patient services including an online patient portal, online bill pay, medical records access, and Virtual Quick Care telehealth visits. Revenue mechanics follow standard nonprofit hospital economics: fee-for-service billing across inpatient, outpatient, and ambulatory lines, insurance and government payor reimbursement, self-pay, and a documented financial assistance program in compliance with the No Surprises Act. Go-to-market is direct-to-patient through physical facilities and community health programs rather than enterprise sales. The company employs 501-1,000 people and is governed by the parent system's Catholic health mission and community benefit framework.

Business model constraints include dependence on CommonSpirit Health for capital, IT infrastructure, and system-level decision-making, as well as the structural pressures facing rural nonprofit hospitals (workforce shortages, payor mix, and regulatory compliance). No AI/ML capabilities, proprietary technology platforms, or external funding rounds are documented; the differentiation strategy is geographic coverage, breadth of clinical services within a single regional network, and integration into one of the largest nonprofit health systems in the United States.

Name

CHI St. Alexius Health

Legal name

CHI St. Alexius Health

Website

https://chistalexiushealth.org

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

501–1,000 employees

Short description

CHI St. Alexius Health is a nonprofit regional hospital network operating 11 facilities across central and western North Dakota as a subsidiary of CommonSpirit Health, providing emergency, specialty, primary, and telehealth care to rural community patient populations.

Ownership category

akta.pro rank

Headquarters

HQ city

Bismarck

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain

Distribution channels3 records

Marketing channels4 records

Core offering

CHI St. Alexius Health is a nonprofit, multi-specialty healthcare delivery system operating 11 hospitals and clinics across central and western North Dakota. The system provides inpatient, outpatient, primary, specialty, and emergency clinical services, complemented by digital tools such as the patient portal, online bill pay, and Virtual Quick Care telehealth visits. It operates as part of the CommonSpirit Health network under the Catholic Health Initiatives umbrella.

Product overview

CHI St. Alexius Health is a healthcare system offering a comprehensive portfolio of clinical services across multiple locations in North Dakota. The organization operates as a multi-specialty health system under the CommonSpirit Health Catholic Health Initiatives umbrella, providing services ranging from primary care and emergency medicine to specialized programs in cancer care, heart care, orthopedics, and behavioral health. The system also provides digital health services including a patient portal for accessing medical records and scheduling, online bill pay, and Virtual Quick Care telehealth visits. The service portfolio includes both inpatient and outpatient care delivered across 11+ locations including Bismarck, Mandan, Minot, Dickinson, Williston, Carrington, and other North Dakota communities.

Differentiator

Problem solved

Functional benefit

Products and services

• Behavioral Health Mental health and behavioral health services including assessment, treatment, and support for patients experiencing psychiatric or psychological conditions.
• Cancer Care Oncology services including diagnosis, treatment, chemotherapy, radiation therapy, and supportive care for patients with cancer.
• Emergency & Trauma 24/7 emergency department and trauma center services for acute and life-threatening conditions.
• Employee Assistance Program Confidential counseling and support services for employees dealing with personal or work-related issues.
• Heart Care Cardiovascular services including diagnostic testing, interventional procedures, cardiac rehabilitation, and heart disease management.
• Mammography Breast imaging services including screening and diagnostic mammograms for early detection of breast cancer.
• Maternity Care Obstetric services including prenatal care, labor and delivery, postpartum care, and neonatal support.
• Orthopedics Bone, joint, and muscle care including surgical and non-surgical treatments, physical therapy, and sports medicine.
• Pediatrics Medical care for infants, children, and adolescents including well-child visits, immunizations, and treatment of pediatric illnesses.
• Primary Care General medical services including routine check-ups, preventive care, management of chronic conditions, and referrals to specialists.
• Urgent Care Walk-in clinic services for non-emergency conditions that require immediate attention but are not severe enough for the emergency department.
• Virtual Quick Care Virtual urgent care visits allowing patients to connect with healthcare providers remotely via video for minor illnesses and conditions.
• Women's Health Comprehensive women's health services including gynecological care, obstetric services, breast health, and reproductive health.
• Weight & Wellness Program Programs focused on weight management, nutrition counseling, and lifestyle changes to improve overall health and wellbeing.
• CHI St. Alexius Health Patient Portal Online portal allowing patients to access their medical records, view test results, communicate with providers, and manage appointments.
• Bill Pay Online bill payment system allowing patients to view and pay their medical bills securely.
• Medical Records Service allowing patients to request and access their medical records, test results, and health information.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature1 record

Partnerships

One partnership is on record.

• Catholic Health Initiativesparent organizationOthersCatholic Health Initiatives (now part of CommonSpirit Health) is the parent organization that owns and operates CHI St. Alexius Health facilities

Scale indicators1 record

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Ascension Health: National Catholic nonprofit system operating acute-care hospitals and physician networks across multiple states; comparable governance, mission, and rural-hospital portfolio characteristics to CHI St. Alexius.
• Trinity Health (national system): Large national Catholic nonprofit operating hospitals, clinics, and home health across dozens of states; shares mission-driven nonprofit hospital model and Catholic identity with CHI St. Alexius.
• Bon Secours Mercy Health: Large Catholic nonprofit health system with an integrated delivery model including hospitals, employed physicians, and telehealth; broadly comparable to CommonSpirit/CHI St. Alexius in mission and structure.
• Mayo Clinic Health System: Network of community-based hospitals and clinics affiliated with Mayo Clinic across the Upper Midwest including Minnesota and Wisconsin; competes for tertiary referrals and complex specialty care in the same regional catchment as CHI St. Alexius.
• CommonSpirit Health: Parent organization and one of the largest U.S. nonprofit health systems; operates the same Catholic mission footprint, shared Epic EHR, and corporate infrastructure that CHI St. Alexius relies upon.

Direct peers

• Sanford Health: Headquartered in Sioux Falls, SD, Sanford is the largest health system in the Dakotas with major hubs in Fargo and Bismarck that directly compete with CHI St. Alexius for patients across central and western North Dakota.
• Avera Health: Sioux Falls-based Catholic nonprofit system with hospitals and clinics across South Dakota and into North Dakota; competes directly in tertiary services, oncology, heart care, and rural network coverage in the Dakotas.
• Trinity Health (Minot): Acute-care hospital and regional clinic network based in Minot, ND, directly competing with CHI St. Alexius's Minot location for inpatient and outpatient volumes in north-central North Dakota.
• Altru Health System: Grand Forks, ND-based regional system serving northeastern North Dakota and northwestern Minnesota; competes for primary care, specialty referrals, and emergency services in communities adjacent to CHI St. Alexius's catchment.
• Essentia Health: Regional nonprofit health system operating across Minnesota, Wisconsin, and North Dakota; runs clinics and hospitals that overlap with CHI St. Alexius's geography and service portfolio, particularly in the eastern North Dakota border region.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks4 records

Key highlights6 records

Customer concentration

• Xx.com/chistalexius
• LinkedInlinkedin.com/company/chistalexiushealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CHI St. Alexius Health