The new facility opened in 1899, with beds for ten patients, an outpatient consulting room, an operating theater, a pharmacy and a church hall. But David Landsborough was the only doctor in attendance. In fact, he ran the place single-handedly, examining outpatients, performing operations, nursing inpatients and handling administrative matters. There was no-one to share the load with him.
由於病患日增，蘭大衛開始籌備購地建醫館，一八九九年，醫院有了初步的雛形：有收容十名病人的病房、診療室、手術室、藥局和禮拜堂，但卻只有蘭大衛一人「校長兼撞鐘」，看診、開刀、看護、行政工作全落在他一人身上，無人可以分擔。