St. Alexius Medical Center in Bismarck is pursuing an affiliation with the Catholic Health Initiatives nonprofit.
The hospital and nonprofit say the goal would be to enhance services and improve care. Officials say that if a final agreement is reached, the affiliation could occur by the end of the year.
Catholic Health Initiatives is based in Colorado, with a division based in Fargo. It has several facilities in North Dakota, but none in Bismarck.
St. Alexius serves residents of central and western North Dakota, eastern Montana and northern South Dakota through its Bismarck hospital and facilities in several other cities. It is associated with the Benedictine Sisters of the Annunciation Monastery in Bismarck.