I have been repeatedly shown that it is not wise to erect mammoth institutions. It is not by the largeness of an institution that the greatest work for souls is to be accomplished. A mammoth sanitarium requires many workers. And where so many are brought together, it is exceedingly difficult to maintain a high standard of spirituality. In a large institution it often happens that responsible places are filled by workers who are not spiritual-minded, who do not exercise wisdom in dealing with those who, if wisely treated, would be awakened, convicted, and converted. CH 239.1
Not one quarter of the work has been done in opening the Scriptures to the sick that might have been done, and that would have been done, in our sanitariums, if the workers had themselves received thorough instruction in religious lines. CH 239.2
Where many workers are gathered together in one place, management of a much higher spiritual tone is required than has been maintained in our large sanitariums.—Testimonies for the Church 7:102, 103 (1902). CH 239.3