The hospital building works hard daily to house clinics, patients, surgeries, births, and emergencies. It needs constant updates for new equipment, and repair to the older parts of it.

The public bathrooms are the older Asian style of a vault under the floor that gravity flows out of the building. The bathrooms need flush toilets and updating of the sewage system to keep the hospital clean and to service the over 300 daily visitors to the hospital and the staff.

The front of the building has a gravel parking area in a land that rains over 100 inches per year. When it rains, the parking lot gets muddy and people track in mud into the entry of the building. Scrubbing that entry floor wears a hard bristle brush down in a mere two weeks. The parking area needs pavers to reduce the mud being tracked into the building to keep the hospital clean.

The first floor of the hospital serves the community daily with clinics so it is the main traffic area. It is now a concrete floor that is very worn. This floor needs an epoxy finish or tiling to improve the ability to clean it and reduce the spread of contaminants.

The exterior of the building needs painting and caulking as it has not been painted for over 10 years (remember it rains over 100 inches per year there) and needs to protect the structure and window frames from decay.

The ramps from first to second and second to third floors are the main transport avenue for patients and supplies. The are pitted concrete and have no safety rails or emergent stops in the ramps which need to be repaired.

The administrative offices in the main hospital building need to be moved out of the first floor to make more room for daily clinics as the population has grown greatly over the last 50 years. These offices need to move to the administrative/radiology building next door so that this hospital first floor can be used for the clinics.

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