CHI St. Alexius Health Bismarck is a Level II Trauma Center and the tertiary hub of the largest health care delivery system in central and western North Dakota. Its anesthesia department comprises roughly 6 physicians and about 17 CRNAs covering a broad case mix that includes cardiothoracic, pediatric, general, orthopedic, OB/GYN, urology and neurosurgery. The facility is part of CommonSpirit Health.