The departure: St. Joseph's leaves South Bend, 2008–2009

Move completed December 2009 — the successor stands in Mishawaka

The last patient across the city line: The end of the South Bend hospital came as a consolidation before it came as a move. In 2008, on the system's own timeline, Saint Joseph's consolidated: its Mishawaka campus merged inpatient services with South Bend in preparation for the move to a new hospital, and in December 2009 the move was made — the South Bend Tribune's coverage fixing its measure in a single figure: the 114th and final patient arrived by ambulance at the new hospital at 4:15 p.m. on the Monday of the move. The receiving hospital is Mishawaka's, and it is boundary-printed at that size and no larger: a new hospital on a ninety-acre campus at Edison Lakes, 5215 Holy Cross Parkway, Mishawaka. Its cost is printed as its sources conflict: $355 million in the medical center's own figure and the Tribune's move coverage, against $230 million from Tonn and Blank, the construction manager, and $224 million from HOK, the architect, whose account gives 663,000 square feet of hospital and 155,000 square feet of medical office building; the hospital opened with 254 beds, on the reporting of January 2010.

One smaller institution moved with it, at boundary size: Our Lady of Peace Hospital, a long-term acute care hospital owned by Triumph HealthCare since October 2008, moved from the South Bend hospital into the Mishawaka building, leasing space there. The successor's present state, from the state record: the Indiana Department of Health's 2025 consumer report gives Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka, license 25-005012-1, 294 set-up and available beds, with Chris Karam named as administrator — against 253 beds in a directory derived from the hospital's federal cost reports for fiscal 2025, both printed as their records give them; Medicare's legal name for the institution still carries the old geography, Saint Joseph Regional Medical Center–South Bend Campus Inc. The Plymouth campus of the system is Plymouth's, and stands in that city's record.

The ground after: The hill did not stay empty, and it did not stay medical. The old hospital buildings at Madison Street and Notre Dame Avenue were demolished, and the site became a school: the new Saint Joseph High School, at 453 North Notre Dame Avenue, was dedicated on 25 August 2012 — the school having stood fifty-nine years at Angela Boulevard and North Michigan Street before it. The sisters' own monument made the same journey as the hospital: the Indiana historical marker honoring the Holy Cross Civil War sister-nurses, dedicated in October 1965 near the South Bend hospital at Madison Street and Notre Dame Avenue, was taken down for the demolition and rededicated at the Mishawaka campus on 9 September 2013, beside the thirty-foot cross relocated from the South Bend campus. What the Saint Joseph license still operates inside South Bend, on the state's 2025 listing, is the Brannick health center of the entry above and an imaging and rehabilitation service at 53940 Carmichael Drive. For the first time since 1882, the city's Catholic hospital stands outside its limits.

Sources:

1. Saint Joseph Regional Medical Center, published institutional timeline — the 2008 consolidation of the Mishawaka campus's inpatient services with South Bend in preparation for the move.
2. South Bend Tribune, move coverage, December 2009 — the move's completion and the 114th and final patient's arrival at 4:15 p.m.; the $355 million figure as the medical center and the Tribune give it.
3. Tonn and Blank Construction and HOK, project accounts — the $230 million and $224 million figures, and HOK's 663,000 square feet of hospital with 155,000 square feet of medical office building; January 2010 reporting — 254 beds at the opening.
4. South Bend Tribune (2010) — Our Lady of Peace Hospital's move from the South Bend hospital into the Mishawaka building as a leasing tenant, owned by Triumph HealthCare since October 2008.
5. Indiana Department of Health, Hospital Consumer Report for Saint Joseph Regional Medical Center (2025) — license 25-005012-1, 294 set-up and available beds, Chris Karam named as administrator, and the South Bend services listed under the license; federal cost-report-derived directory (fiscal 2025) — 253 beds, carried as the conflict it is.
6. Today's Catholic, September 2012 — the new Saint Joseph High School's dedication on 25 August 2012 on the old hospital site; Today's Catholic and the HMdb marker record — the Civil War nurses marker's 1965 dedication, removal, and rededication at Mishawaka on 9 September 2013 beside the relocated cross.