St. Joseph’s Health Centre Foundation of Toronto is a 1-star charity. It is financially transparent and has a C+ Results Reporting grade, which is below average. Its overhead spending is 38%, which is not within Ci’s reasonable range. Its reserve funds can cover program costs for more than six years, which is also not within Ci’s reasonable range.

Founded in 1921, St. Joseph’s Health Centre Foundation of Toronto (SJHCF) fundraises activities for St. Joseph’s Health Centre (St. Joe’s), a community hospital located in Toronto’s west end. St. Joe’s is a member of Unity Health Toronto, Canada’s largest Catholic healthcare network. Unity Health Toronto operates St. Joe’s, St. Michael’s Hospital and Providence Healthcare. Thus, SJHCF’s grants go to Unity Health Toronto, who distribute them to St. Joe’s. The money the charity raises pays for the hospital’s patient and emergency care, technology, and renovations. SJHCF reports that 38% of the people in its neighbourhoods do not have primary care. It also reports that its emergency department sees about 100,000 patients per year, which is one of the busiest in Canada.

The charity granted $11.3m to Unity Health Toronto in the fiscal year ending March 2025 (F2025). SJHCF funds four main areas: Acute and emergency care, specialized community care, mental health and rehabilitation, and labs, medicine and diagnostic imaging.

Acute and emergency care got 60% ($6.8m) of spending in F2025. SJHCF funds equipment and capital expenditures for short-term treatments for the hospital, such as emergency visits, surgeries, and ambulatory procedures. In F2025, it funded the opening of a new Acute Internal Medicine Clinic which helps patients receive care while avoiding unnecessary hospital admissions. In F2025, it also funded a new table for orthopedic procedures to help better position patients for surgery.

Specialized community care got 20% ($2.3m) of spending in F2025. SJHCF funds capital expenditure and technology related to treatment for the hospital’s targeted populations, including seniors, women and children. In F2025, it funded a new green zone, which is a dedicated space for older adults to feel more comfortable in the hospital. In F2025, it also funded the renovation of a new rainbow zone, which is a dedicated area for kids and adolescents.

Mental health and rehabilitation got 11% ($1.2m) of spending in F2025. SJHCF funds the hospital’s long-term and supportive care for mental, physical, and end-of-life needs. The charity reports over 6,600 people visit the hospital seeking mental health and addiction care each year.

Labs, medicine and diagnostic imaging got 9% ($968k) of spending in F2025. SJHCF funds technology for the hospital’s clinical diagnosis, testing and imaging related to patient care. The charity reports its funding was able to increase mammographic tests by 29%, a screening test used to detect breast cancer. However, it did not specify the exact date explicitly.

SJHCF is amid a major capital campaign to build a new patient tower aimed at serving Toronto’s aging population and providing mental health support. The charity reports the facility will be 900,000 square feet and have the capacity to serve 115,000 annual emergency visits. However, the charity does not report when this project will be completed.

St. Joseph’s Health Centre Foundation of Toronto’s audited financial statements follow activity-based costing, a financial reporting best practice. This means its expenses are clearly defined between grants, and administrative and fundraising costs.

SJHCF received $12.2m in donations and special event fundraising in F2025, which is 74% of total revenue. It earned $4.4m in investment income in F2025, which is 26% of total revenue. In F2025, it granted a total of $11.3m to Unity Health Toronto, which is 68% of revenue. SJHCF recorded a surplus of $641k (4% of revenue) in F2025.

SJHCF spent $3.9m on fundraising costs, which is 32% of donations. It spent $826k on administrative costs, which is 7% of revenue. SJHCF has total overhead spending of 38%. For every dollar donated to SJHCF, 62 cents are available to go to the cause. This is not within Ci’s reasonable range of 65-95.

SJHCF has $67.8m in reserve funds (cash and investments). SJHCF’s reserve funds can cover 602% or more than six years of its annual grant costs. This is not within Ci’s reasonable range of three years or less.

In F2025, SJHCF had investment returns of 6%. It is 65% invested in cash and guaranteed investment certificates. Its investment returns have averaged 6% over the last five years.

This report is an update that has been sent to St. Joseph’s Health Centre Foundation of Toronto for review. Changes and edits may be forthcoming.

Updated on July 4, 2025, by Leah DeFrancesco.