A small hospital was built at Nkhoma in 1915 after the move of the headquarters of the Synod from Mvera in Dowa district to Nkhoma in Lilongwe district (50 km from the capital Lilongwe).
Over the years, new wards were built and old ones were replaced, as money became available and as the need increased. Presently we have a reasonably equipped (for Malawi standards) 280-bed hospital with medical, surgical, paediatric, maternity, ophthalmic, isolation and TB wards. The hospital is now 106 years old.