Birth Injury Marketing
State intelligence

North Dakota: births, delivery capacity and legal capacity

By Kevin Schwaner, Founder; Chief Marketing OfficerUpdated

North Dakota recorded 9,592 births in 2024 across 53 counties, served by 12 hospitals confirmed to provide inpatient labour and delivery, with 24 more whose status CMS does not report. There are 275 Offices of Lawyers establishments statewide, across all practice areas.

Births, 2024
9,592-4.3% since 2021
Delivering hospitals
1224 more not reported
Offices of Lawyers
275CBP 2023, NAICS 541110, all practice areas
Births per lawyer office
34.9national median for 500+ birth counties: 34.3

Births by county

Births by county in North Dakota, 2024A choropleth of North Dakota counties shaded by births recorded in 2024.
Births, 2024 ≤ 47 > 1,533

Figure 1. Hover any county for births, lawyer offices and delivering hospitals. Projected at build time; no mapping library on this page.

North Dakota births, 2021 to 2024. Four-year births series for North Dakota alongside the national total. North Dakota 9,592 -4.3% 2021→2024 United States 3,605,563 +0.6% 2021→2024 Delivering hospitals 12 +0.0% 2024 only Lawyer offices 275 +0.0% CBP 2023
Figure 2 — North Dakota against the national series. Only the first two series are time series; the third and fourth are single-vintage values shown flat, and are labelled as such rather than being interpolated into a trend. National births detail. Sources: Census Bureau, Vintage 2024 county population estimates (components of change), released June 2025; Census Bureau, County Business Patterns 2023, NAICS 541110 Offices of Lawyers, released May 2025; CMS Care Compare, Maternal Health · Hospital, reporting period 1 Jan – 31 Dec 2024.

Every county

All 53 counties in North Dakota. Sorted by births. Copy it into a spreadsheet — it is a real table.
CountyPopulation 2024Births 2024Lawyer officesBirths per officeDelivering hospitalsStatus unknown
Cass County200,9452,3597431.920
Burleigh County103,1071,1557216.020
Ward County68,4279572538.310
Grand Forks County73,7718343027.811
Williams County40,7636671160.611
Stark County33,7674941144.910
Morton County34,1943971136.100
McKenzie County14,7822170undefined01
Stutsman County21,546205634.210
Richland County16,658169821.100
Rolette County11,6921640undefined11
Mountrail County9,4741470undefined01
Ramsey County11,510139527.810
Walsh County10,214121620.202
Benson County5,7561010undefined00
McLean County9,845940undefined00
Mercer County8,348870undefined01
Barnes County10,798850undefined00
Traill County7,98984516.802
Bottineau County6,391710undefined01
McHenry County5,135690undefined00
Dunn County4,031640undefined00
Pembina County6,58862415.501
Dickey County4,930520undefined00
Sioux County3,713480undefined01
Ransom County5,59047411.800
LaMoure County4,051460undefined00
Emmons County3,209400undefined00
Bowman County2,886390undefined01
Eddy County2,309360undefined00
Foster County3,323360undefined00
Sargent County3,710360undefined00
Golden Valley County1,795340undefined00
Logan County1,880340undefined00
Renville County2,376300undefined00
Pierce County3,853290undefined01
Cavalier County3,567280undefined01
Grant County2,247270undefined01
Nelson County3,007270undefined01
McIntosh County2,461250undefined02
Towner County2,0512538.301
Wells County3,803240undefined01
Burke County2,154230undefined00
Hettinger County2,419220undefined00
Adams County2,141210undefined10
Kidder County2,371210undefined00
Divide County2,124200undefined01
Billings County1,063180undefined00
Griggs County2,227170undefined01
Oliver County1,882160undefined00
Sheridan County1,268120undefined00
Steele County1,767100undefined00
Slope County66070undefined00

25 counties record births with no confirmed delivering hospital, covering 1,499 births. As on the national page, this describes where facilities sit relative to where births are recorded by residence — not access to care.

Hospitals with obstetric services

36 North Dakota hospitals reporting an obstetric service status. Facilities confirming they do not provide labour and delivery are excluded from this table and counted on the national page.
HospitalCityCountyOwnershipLabour & deliveryBirthing Friendly
Altru HospitalGrand ForksGrand ForksGovernment - LocalYesDesignated
Ashley Medical CenterAshleyMcintoshVoluntary non-profit - PrivateNot reported—
Cavalier County Memorial Hospital AssociationLangdonCavalierVoluntary non-profit - PrivateNot reported—
Chi St Alexius HealthBismarckBurleighVoluntary non-profit - ChurchYesDesignated
Chi St Alexius Health Devils LakeDevils LakeRamseyVoluntary non-profit - PrivateYesDesignated
Chi St Alexius Health DickinsonDickinsonStarkVoluntary non-profit - ChurchYesDesignated
Chi St Alexius Health WillistonWillistonWilliamsVoluntary non-profit - ChurchYesDesignated
Cooperstown Medical CenterCooperstownGriggsVoluntary non-profit - PrivateNot reported—
Essentia HealthFargoCassVoluntary non-profit - PrivateYesDesignated
First Care Health CenterPark RiverWalshVoluntary non-profit - PrivateNot reported—
Heart Of America Medical CenterRugbyPierceVoluntary non-profit - PrivateNot reported—
Jacobson Memorial Hospital Care CenterElginGrantVoluntary non-profit - PrivateNot reported—
Jamestown Regional Medical CenterJamestownStutsmanVoluntary non-profit - PrivateYesDesignated
Mckenzie County Healthcare Systems IncWatford CityMckenzieVoluntary non-profit - PrivateNot reported—
Mountrail County Medical Center IncStanleyMountrailVoluntary non-profit - PrivateNot reported—
Nelson County Health SystemMcvilleNelsonVoluntary non-profit - PrivateNot reported—
Northwood Deaconess Health CenterNorthwoodGrand ForksVoluntary non-profit - ChurchNot reported—
P H S Indian Hosp At Belcourt-Quentin N BurdickBelcourtRoletteGovernment - FederalYesNo
Pembina County Memorial HospitalCavalierPembinaVoluntary non-profit - PrivateNot reported—
Presentation Medical CenterRollaRoletteVoluntary non-profit - PrivateNot reported—
Sakakawea Medical Center - CahHazenMercerVoluntary non-profit - PrivateNot reported—
Sanford HillsboroHillsboroTraillVoluntary non-profit - PrivateNot reported—
Sanford MayvilleMayvilleTraillVoluntary non-profit - PrivateNot reported—
Sanford Medical Center BismarckBismarckBurleighVoluntary non-profit - PrivateYesDesignated
Sanford Medical Center FargoFargoCassVoluntary non-profit - PrivateYesDesignated
Smp Health St AloisiusHarveyWellsVoluntary non-profit - PrivateNot reported—
South Central HealthWishekMcintoshGovernment - LocalNot reported—
Southwest Healthcare ServicesBowmanBowmanVoluntary non-profit - PrivateNot reported—
St Andrew'S HospitalBottineauBottineauVoluntary non-profit - ChurchNot reported—
St Luke'S HospitalCrosbyDivideVoluntary non-profit - PrivateNot reported—
Standing Rock Service UnitFort Yates,SiouxGovernment - FederalNot reported—
Tioga Medical CenterTiogaWilliamsVoluntary non-profit - PrivateNot reported—
Towner County Medical CenterCandoTownerVoluntary non-profit - PrivateNot reported—
Trinity HospitalsMinotWardVoluntary non-profit - PrivateYesDesignated
Unity Medical CenterGraftonWalshVoluntary non-profit - PrivateNot reported—
West River Regional Medical CenterHettingerAdamsVoluntary non-profit - PrivateYesDesignated

Birthing Friendly is a CMS designation reflecting a hospital's attestation to participating in a perinatal quality improvement collaborative and implementing recommended safety practices. It records reported structure and participation. It is not an outcome measure, and CMS published no obstetric outcome scores at all for 2024 — see the blackout.

A limit we will not cross. Nothing on this page links a clinical outcome rate to a legal claim. Adverse-event rates measure medicine. Litigation measures a legal process. They are different quantities, they are collected by different agencies for different reasons, and correlating them would be the fastest way to publish something false. Where we present clinical data and legal data together, it is to describe a market — never to imply that one causes, predicts, or justifies the other.

Sources

  1. U.S. Census Bureau — County Population Totals and Components of Change, Vintage 2024 — births by county, 2021–2024
  2. U.S. Census Bureau — County Business Patterns, 2023 — NAICS 541110, Offices of Lawyers; establishment counts by county
  3. CMS Care Compare — Maternal Health · Hospital — PC-02, PC-07a, PC-07b, SM-7; 2024 reporting period
  4. CMS Care Compare — Hospital General Information — ownership, facility type, Birthing Friendly designation
  5. U.S. Census Bureau — Cartographic Boundary Files, 2023 (1:20,000,000) — county and state polygons; projected to Albers equal-area at build time

Cite this analysis

Free to reproduce with attribution, including commercially. Charts may be embedded as published.

Birth Injury Marketing. “North Dakota: births, delivery capacity and legal capacity.” 24 August 2026. https://birthinjurymarketing.com/intelligence/north-dakota/

Journalists and researchers: the underlying data is already published as CSV at /data/, free and without conditions — no form. Need a different cut, by state, county, hospital or year? Ask, and we will also tell you what the data cannot support.

Related

Working in North Dakota? North Dakota is one of the states where this data supports a distinct argument about acquisition, so it has a commercial page: birth injury marketing in North Dakota — including three reasons not to spend money there.

All 51 states → · National legal capacity → · Why there is no outcome data → · Model this market → · Methodology →

Authorship & review

Author
Kevin Schwaner, Founder; Chief Marketing Officer. Credentials.
Last reviewed
Corrections
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