This hospital was originally built in 1873 in the village of Ceres, just outside of Cupar but the location was found to be unsuitable.

[1] Design plans for a new Adamson Hospital were put forward by three local architects: David Storrar, Henry Allan Newman and Henry Bruce, with Newman's design being chosen.

[2] The hospital was first extended in 1930 with the addition of x-ray and sterilisation departments and in 1935, a further extension was added to the west side of the building and a nurses home was built.

The kitchen, linen room, palliative care unit and link corridors were all demolished and a new two-storey entrance built on the ground which includes the reception on the ground floor and the children's outpatient department on the first floor.

[5] The redevelopment was opened on 29 October 2012 by Alex Neil, the Cabinet Secretary for Health and Wellbeing.