Sanford will soon come to terms with the city of Williston on an agreement that cements the project's timeline and financing, but the plan is to break ground on the clinic next spring and have it open by the end of 2023, said Sanford Bismarck CEO and President Dr. Michael LeBeau. A hospital with about 50 beds will come later, though the project's price tag and timeline have not yet been determined, he added.