Reimagining St. Joseph’s

Our vision for St. Joseph’s Campus involves creating a health and wellness hub focused on three areas: health, housing, and supportive services.

 A once-in-a-generation opportunity.


That’s how we view the chance to reimagine the services available to the community at St. Joseph’s Campus in downtown St. Paul.

For years, St. Joseph’s operated as the smallest of four acute care hospitals located within a few blocks from each other downtown. More than half of all St. Joseph’s patients came from outside the city of Saint Paul and 72 percent of the hospital’s total emergency department visits were considered potentially preventable with proper primary care – which was one of the highest rates in the state. Acute services and traditional emergency room care can be expensive and may only address short-term healthcare needs without providing a long-term solution for patients.

Based on more than 300 community conversations over two years, it became clear that the current care model at St. Joseph’s was not meeting the health needs of the surrounding communities. Nor was that model financially sustainable for our healthcare system.

We believe we can do better for the people in our community. That’s why – as part of our commitment and vision to provide affordable, accessible, and equitable care – the hospital is being reimagined as a community hub for health and wellness. Together with partners, we hope to create a campus that addresses the social risk factors of health, focused on three areas: health, housing, and supportive services.


For our community. With our community.

“This unique site in the center of downtown St. Paul represents a once-in-a-generation opportunity to transform the health outcomes of the surrounding communities, to attack health and racial inequities, and to focus on improving health rather than treating sickness. To achieve this vision, we must collectively reimagine our footprint in St. Paul to best meet the needs of the community. We are resolute in our commitment to the community. We are actively seeking to design this new hub of health and wellness with the community, government partners, and others who have dedicated themselves to service within this community.”


James Hereford, President and CEO, Fairview Health Services

    In June 2021, Fairview conducted a series of surveys with our employees, community partners, and patients in the East Metro, as well as residents of St. Paul to inform our continued planning of services, programming and facilities at the planned Health and Wellness Hub, which will be located on the St. Joseph’s campus. 

    Nearly 300 St. Paul residents participated in the survey, which was offered in English, Spanish, Hmong, Somali and Karen, by phone and online. 

    A full report on this research is available here

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