North Dakota
Community conversation, leader roundtables, senator support: A look back at Devils Lake’s health care story
DEVILS LAKE, N.D. — Devils Lake is positioned to be a leader in rural health care as North Dakota vies to earn up to $1 billion as part of the Rural Health Transformation Fund, part of the federal Big Beautiful Bill, said Sen. John Hoeven.
He credits the changes to health care in Devils Lake not just to city and health care leaders, but to the community itself.
“At the end of the day, this was the community that got this done,” said Hoeven, R-N.D. “And I hope other communities look at that. … And they cared about everybody. They didn’t leave anybody beside or behind.
On Monday, Jan. 19, Devils Lake celebrated the acquisition of the CHI St. Alexius Health Devils Lake Hospital by Altru Health System, which purchased it from CommonSpirit Health. The planned transition date is March 1. The celebration came four years after the conversation surrounding the region’s health care was kicked up by a letter — published in newspapers as an op-ed — from then-Mayor Dick Johnson.
In the years since, health care in Devils Lake has been the topic of numerous conversations, town hall meetings and roundtables featuring health care leaders and elected officials.
During Monday’s celebration, Hoeven referenced the Rural Health Transformation Fund. The Legislature was in special session this past week considering how to appropriate funds from the program. Hoeven said each state receives $100 million a year for five years through the fund, which makes up $25 billion of the total $50 billion within the fund. The other $25 billion is competitive, and states must apply. North Dakota has already been awarded an additional $100 million this year, something Hoeven said the state plans to continue with the goal of receiving a total of $1 billion over five years.
Hoeven said North Dakota has a chance to do better than other states because of a fiber optic network put in across the state, including rural areas, which means, “when it comes to telehealth medicine, we can do things nobody else can,” he said. The state’s network of critical access hospitals is another strength. Hospitals like the one in Devils Lake are a model for rural health care, he said.
“We can now work to build on that network in a way that I think is going to become a model for the country, and if we meet our benchmarks and do all these things, it enables us to attract health care, to leverage our health care,” Hoeven said. “And of course, that relates to Devils Lake, because they’re positioned to be part of the leadership in rural health care to make it happen.”
The possibilities in Devils Lake represent the latest health care-related news for the community.
During the Jan. 19 event, Johnson’s contribution to the health care conversation was recognized by both Hoeven and current Mayor Jim Moe.
“I know how hard you worked on this project for a long time and stayed involved,” Hoeven said to Johnson. “And of course, you live and die with this community.”
Moe thanked Johnson alongside other community and city leaders.
“Thank you for the incredible amount of time and effort you put into your advocacy efforts,” he said. “On behalf of Devils Lake and the Lake Region, we owe you a depth of gratitude. This has been an effort that predates the four years that I’ve been working on this.”
In Johnson’s January
2022 op-ed
, he said he had often commented, “if our community were the patient, it could be said the community is on life support, or maybe code blue.”
Johnson asked if the city’s hospital was meeting its mission as a designated critical access hospital. The hospital and clinic being owned by separate entities – CommonSpirit and Altru, respectively – was detrimental, he said. The conditions of hospital facilities and a lack of staff at both buildings were other issues he raised.
In a
subsequent interview
with the Grand Forks Herald, Johnson clarified his critiques were with leadership, not with the health care professionals working in the city.
“It’s very important to make note that we’re not critical of the staff at either Altru or CHI,” he said. “Those people have been doing a heck of a job for what they had to work with.”
Before Johnson’s letter, there was some activity among different health systems to possibly step into Devils Lake. In January 2021, Essentia Health and CommonSpirit announced they had signed a letter of intent for Essentia to acquire CommonSpirit facilities in Minnesota and North Dakota, including the Devils Lake hospital. However, in May 2021, the Bismarck Tribune reported the two weren’t able to come to an agreement and negotiations had ended.
In July of that year, Altru
sent letters
to Devils Lake residents declaring its intent to “remain in the area for the long term” and hosted a
public listening session
about the importance of health care in the city. Altru Chief Clinical Operations Officer Meghan Compton had told attendees during an event that Altru was in a financial position to purchase the hospital if the opportunity came. In December, the health system signed a
letter of inten
t to purchase 50 acres of land for a future hospital facility in the city.
In March 2022, the offices of Hoeven and Sen. Kevin Cramer, R-N.D., both confirmed the senators had
been in communication
with Johnson about health care. In October that same year, the city of Devils Lake, Altru, Essentia and the Spirit Lake Tribe signed a
letter of intent
to work together on a new medical campus for the community.
Hoeven came to town in August 2023, holding a
roundtable
to hear community concerns and push for forward momentum. CHI staff asked for more community support, such as from social work and the police. Hoeven was critical of CommonSpirit for not speaking with him about the state of the hospital and not attending the roundtable.
“At some point, it says something to the community if they don’t show up,” he said at the time.
Tim Bricker, president of CommonSpirit’s Central Region, answered the call when he came to Devils Lake in October to talk with Hoeven and other local leaders. In the meeting, he said he could see the issues at hand and wanted to help, though it could take some time.
The next month, Devils Lake
held two
town hall
meetings to get more resident feedback about health care. Community concerns included dialysis availability, quality of the emergency room, lack of a surgeon and psychiatric care and how long it has taken to make changes (since then, the hospital has made
upgrades
to the emergency room and the Altru clinic has opened a new
outpatient dialysis
unit). Residents also discussed worries about people leaving town for areas with better health care and commended the hospital’s nurses and doctors for what they have been able to accomplish for the community.
Following two more roundtables involving Hoeven and Bricker in
November 2023
and
February 2024
, Devils Lake and Altru made the
announcement in June 2024
that Altru would be acquiring the city’s hospital.
The step forward was a dream come true for Johnson, who said he “
couldn’t ask for a better outcome
.”
Altru needed to complete a six-month period of due diligence before ownership could transfer. It also needed to reach out to the Vatican.
As CommonSpirit is a faith-based organization, the Devils Lake hospital needed to be removed from the Catholic registry by an
office in the Vatican
and Altru needed permission from the Vatican to officially acquire the facility. While Altru waited for the Vatican’s response, it hired
Tanner White
to serve as CEO of the Devils Lake hospital, announced in May 2025.
White, a native of Ellendale, North Dakota, previously worked with South Dakota-based Avera Health. There, he held a number of leadership roles, including vice president of network operations, liaison between Avera Health and several critical access hospital boards; director of therapy services; and regional manager of philanthropy.
Getting
involved in the community
is important to White, he told the Herald.
“I spent 14 years in Aberdeen (South Dakota) and I’ve been involved in all different sorts of committees, from the chamber to local golf course board to everything in between,” he said. “Going to the Devils Lake region, I think it’s important to get myself involved in those boards and committees, so I look forward to jumping at those opportunities as they present themselves.”
Altru announced in December that it had received approval from the Vatican.
North Dakota
Today in History, 1971: Rugby repeats as North Dakota sand greens golf champion
On this day in 1971, Rugby repeated as North Dakota’s high school sand greens golf champion behind medalist Dwight Stempson’s winning performance.
Here is the complete story as it appeared in the paper that day:
Rugby Repeats As Sand Greens Golf Champion
RUGBY, N. D. — Rugby repeated as North Dakota high school sand greens golf champion here Wednesday, posting a four-man total of 293 strokes for 18 holes.
Led by medalist Dwight Stempson’s medalist 36-35 — 71, the Panthers were eight strokes ahead of runnerup Stanley, which had a 301. Following were Garrison 311, Beulah 315, Leeds 322, Ashley 323, Bottineau 328, Pembina 329, Tioga 332, Parshall 341 and Hettinger 342.
Stempson and teammate Bruce Carlson each had one-under par 71s, but Carlson was unable to be at the regional and wasn’t qualified for individual honors.
Rounding out the Rugby totals were Delwin Wilson 40-37 — 77 and Dennett Hutchinson 35-39 — 74. Gary Kirchoffner, 41-39 — 80, was Rugby’s fifth entrant with the best four-of-five scores counted.
Runnerup Stanley was led by Steve Springan’s 34-38 — 72 and Joe Springan’s 36-38 — 74. Their two-man total of 146 strokes was good enough for the doubles title. Two strokes back with a 148 was the duo of Stempson and Wilson. Stan Saathoff and Mike Stepina of Garrison each had 76s for a 152 total and the Ashley combo of Steve Maier (76) and Dave Kretschmar (78) was fourth with a 154.
Stempson was the driving contest winner with a distance of 280 yards. Chris Knutson of Garrison headed the pitch and putt competition.
Kate Almquist is the social media manager for InForum. After working as an intern, she joined The Forum full time starting in January 2022. Readers can reach her at kalmquist@forumcomm.com.
North Dakota
10 Small Towns In North Dakota Were Ranked Among US Favorites
Walhalla keeps the oldest buildings in North Dakota, fur-trade posts from the 1840s still standing near the Canadian line. Medora sits out in the Badlands, where a French aristocrat tried to build a beef empire in 1883. Garrison fishes one of the largest reservoirs in the country, and Jud has turned nearly every wall in town into a mural. The frontier era left marks across North Dakota that most of the Plains has paved over, and these ten towns still carry them. Each one holds a specific piece of the state’s history and geography.
Garrison
Garrison sits on the north shore of Lake Sakakawea, the reservoir the Garrison Dam holds back on the Missouri River and one of the largest reservoirs in the country. Anglers come year-round for walleye, northern pike, and chinook salmon, and the lake also draws boaters, campers, and shoreline hikers. In town, the open-air Heritage Park Museum preserves a one-room schoolhouse, a railroad depot, a country church, and a homesteader cabin from the turn of the last century. Fort Stevenson State Park, three miles southwest, marks the site of an 1860s military post with an interpretive guardhouse, a marina, a campground, and lakeside trails. Garrison leans into its self-declared title as the Walleye Capital of North Dakota with Wally the Walleye, a 26-foot fiberglass fish on Main Street.
Mayville
Mayville State University anchors this Red River Valley town in Traill County. The public four-year college opened in 1889 as one of the six original state normal schools authorized at North Dakota statehood, and its calendar still drives the town through Comet athletics, theater productions, and the annual Festival of Trees. Island Park, set along the Goose River where it runs through downtown, holds the town’s main recreation space with picnic areas, playgrounds, and a community pool. The volunteer-tended Rainbow Garden along the riverbank mixes themed plantings with folk-art sculptures. The Mayville Water Park runs its pool and slides from Memorial Day through Labor Day.
Lisbon
Lisbon grew up along the Sheyenne River in Ransom County as a Northern Pacific Railroad town, and its 1889 Opera House, now restored and on the National Register, still hosts theater and music. Brick storefronts from the same era line Main Street. Just south of town, the Sheyenne National Grassland protects 70,000 acres of tallgrass prairie, the largest publicly owned tallgrass prairie in the country, with trails open to hikers, riders, and limited hunting. Prairiewood Vineyard, about six miles out, grows cold-climate grapes and pours tastings on weekends.
Fort Ransom
Fewer than 100 people live in Fort Ransom year-round, deep in the wooded Sheyenne River Valley. Fort Ransom State Park preserves the site of an 1867 Army outpost built to guard settlers and the wagon route toward the Black Hills, and it now offers camping, paddling on the Sheyenne, and cross-country skiing. The park’s Sodbuster Days each September run horse-powered farming, threshing, and traditional-craft demonstrations, and the Sheyenne Valley Arts and Crafts Festival fills it over the Fourth of July weekend. The town anchors the Sheyenne River Valley Scenic Byway, a 63-mile route through some of the most varied terrain in the state.
Devils Lake
Devils Lake takes its name from the Dakota “Mni Wak’áŋ,” or Spirit Water, and sits beside the largest natural lake in North Dakota. Between 1993 and 2011, floodwaters more than doubled the lake, swelling it from roughly 70 square miles to over 200 and swallowing roads, farms, and woodland as it rose. Today it holds one of the most productive perch and walleye fisheries in the Upper Midwest. Graham’s Island State Park, on the western shore, is the main access point, with cabins, a campground, a swimming beach, and boat ramps. Fort Totten State Historic Site nearby preserves an 1867 military post with sixteen original buildings restored to tell its story through 1890.
Medora
Medora is the gateway to the south unit of Theodore Roosevelt National Park, set in the Badlands of western North Dakota. The Marquis de Mores, a French aristocrat, founded the town in 1883 and named it for his American wife, Medora von Hoffman; his Chateau de Mores hunting lodge still stands as a state historic site with the family’s original furnishings. The Maltese Cross Cabin, near the park visitor center, is the cabin Theodore Roosevelt used during his 1880s ranching years, the period that shaped his later conservation work. Each summer the Burning Hills Amphitheatre stages the Medora Musical, a Western-themed show running since 1965 in a natural bluff theater over the Badlands. The North Dakota Cowboy Hall of Fame keeps permanent exhibits on ranching, rodeo, and Indigenous horse culture.
Walhalla
Walhalla, founded in 1845 on the banks of the Pembina River, is among the oldest towns in North Dakota. The Kittson Trading Post, built by American Fur Company agent Norman Kittson, stands at the Walhalla State Historic Site and is often called the oldest building in the state; the nearby Gingras Trading Post, the 1840s home and store of Métis trader Antoine Blanc Gingras, holds an equal or older claim. Pembina Gorge State Recreation Area cuts the deepest canyon in North Dakota, carved by the Pembina River, with trails for hiking, biking, and ATVs. Frost Fire Mountain runs downhill skiing and snowboarding in winter and an outdoor theater season in summer.
Valley City
Valley City earns its nickname, the City of Bridges, from the eleven bridges that cross the Sheyenne River and its tributaries within the city limits. The Hi-Line Railroad Bridge, finished in 1908 and listed on the National Register, runs 3,860 feet across the valley and stands 162 feet above the water, one of the longest single-track railroad bridges in the country. The town sits at the eastern end of the 63-mile Sheyenne River Valley Scenic Byway, and Valley City State University, founded in 1890, keeps the local calendar busy with Vikings athletics and the annual Hi-Liner Days festival.
Jud
Jud holds fewer than 100 residents in LaMoure County and is named for Judson LaMoure, an early state legislator. Since the early 2000s, residents and visiting artists have painted murals across nearly every building in town, including the post office, the grain elevator, the fire hall, and several houses, turning the place into a walkable open-air gallery of prairie wildlife, rural scenes, and abstract patterns. The annual Jud Art Festival each summer brings in regional artists and live music. Most travelers come for the murals and the sight of an entire town organized around one creative project.
Bottineau
Bottineau sits a little over ten miles south of the Canadian border as the gateway to the Turtle Mountains. Its mascot, the 30-foot fiberglass Tommy the Turtle, went up in 1978 riding a 34-foot snowmobile and is billed as the world’s tallest turtle statue. Pride Dairy on Main Street is the last small-town creamery still operating in North Dakota, known for its Juneberry ice cream. Lake Metigoshe State Park, about fifteen miles north, offers boating, kayaking, fishing, and winter ice fishing. Bottineau Winter Park, the largest ski area in the state, runs ten runs across 200 vertical feet plus a tubing hill, and Dakota College at Bottineau, established in 1906, anchors the campus side of town.
Where The Frontier Still Shows
What these ten towns share is how much of the frontier they kept. The Missouri River and Lake Sakakawea shaped Garrison. The Sheyenne River Valley runs through Fort Ransom, Lisbon, and Valley City. The Pembina Gorge holds Walhalla on the Canadian border, the Badlands hold Medora, and the Turtle Mountains rise behind Bottineau. Each one still keeps its 19th-century buildings and the kind of small-town institutions that have closed almost everywhere else.
North Dakota
Behind the Badge – Why North Dakota?
Why North Dakota?
District Game Warden Noah Raitz
I admit that when I was first thinking about getting into conservation enforcement, I was not thinking about moving to North Dakota. Not because I didn’t like the state or had a reason not to move here. It was the opposite. I lacked the knowledge of what North Dakota had to offer. I was also in high school, so I had no idea what my plan was other than going to college.
I was just talking about this with another warden and the recruitment of candidates for our game warden positions. Sure, we hire wardens born and raised in North Dakota, but that’s not a requirement for the job. As proof of that, I grew up 30 minutes from the North Dakota border but didn’t start to think of it as an option until college.
I attended the University of North Dakota and one summer I worked for the North Dakota Game and Fish Department as a fisheries seasonal in Devils Lake. I enjoyed the work, but it also showed me the fishing opportunities the state offered that I had never explored before.
I also helped with sharp-tailed grouse surveys in college, which showed me the upland hunting opportunities that, again, I had never explored.
I grew up hunting waterfowl, but not in North Dakota until college, when I was introduced to field hunting. As you can guess, this showed me the prized waterfowl hunting so many people are passionate about in North Dakota.
I say all that because North Dakota’s habitat and natural resources are worth appreciating. It might not be flashy mountains or cabin-packed lakes, but that doesn’t mean we don’t have a lot to offer. We have the prairie, badlands, the Missouri River system, and many other unique landscapes throughout the state.
What do those have in common? They are made up of large areas of undeveloped landscapes for anyone to enjoy. Or in my case, to work in. That’s my office, the habitat for our fisheries and wildlife resources. I may not have a fast-food restaurant or big shopping mall down the road, but I do have various hunting and fishing opportunities within 5 minutes of my house.
I was asked recently what the favorite part of my job is, and it wasn’t very difficult to answer. It’s the interactions I get to have with the public. Getting to listen to a young angler tell me about the big fish they caught, or a new hunter showing off their first duck. It’s also the older generation telling me about hunting or fishing stories from before I was born.
To circle back to where I started, I did not expect to end up in North Dakota, but I am sure glad I did. Enforcing game and fish regulations is easy when the majority of our interactions don’t end in a citation, but instead a hunter or anglers’ story about that day’s success or defeat.
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