HSI is your professional debt collection agency. Established in 1963 by the North Dakota Hospital Association, we provide professional accounts receivable solutions based on value, integrity, and performance.


At HSI, we assist our medical clientele in pursuing collection of their bad debt accounts in a professional, timely, and amicable manner, ensuring that both our medical client and the consumer can fairly and amicably settle any outstanding amount owed.

By choosing HSI, our clients get access to a few key services and methods


  • A focus on a consumer’s debt while focusing on retaining them as a patient
  • Knowledgeable professionals who can help educate patients about how to pay their outstanding balance
  • A commitment to ensuring that each patient understands their obligation, rights and payment options
  • If your patient has skipped, we will access numerous tools in order to locate them
  • Litigation is a powerful tool and, when necessary, is utilized when the consumer refuses to pay


To learn more, contact Kim Granfor at 701-224-9439 or 800-442-0462 or email at