[1][2] The main hospital building six stories plus a mechanical penthouse, with 168,700 square feet of floor space.

[6] The Government was forced to appeal to private donors to help pay some of the cost of furnishing the new hospital.

[8] The cost overruns were caused by a combination of bad project management, disputes with construction crews, and ever-changing lists of specifications.

Although historically the British Virgin Islands has normally produced a Government budget surplus, but shortly after commencing the new Peebles Hospital projectthe Territory began to run at a deficit (this time period also coincided with the financial crisis of 2007–2008).

[11] The Economist argued that deteriorating economic conditions in the British Virgin Islands were caused "not [by] sagging revenues but public-sector profligacy",[12] an oblique reference to the disastrous financial mismanagement of the hospital project.