By using qualitative and quantitative approaches, this study analyses how language is taken into account in the organization of health services in predominantly Anglophone institutions, as well as favourable opportunities to offer health services in French in minority Francophone communities. The examination of factors contributing to the provision of health services in French in Francophone minority communities explores the organizational (internal) and environmental (external) dimensions of the hospital. These opportunities refer to the administrative and professional commitment, to the strengthening and development of bilingualism in the management of services, and also to the emergence of both an active demand for services in French and a political, legal and regulatory commitment by government authorities.