Royston Hospital is a single-level hospital facility and two-level consulting centre, originally constructed in 1931, and following major upgrades the hospital contains 36 beds, five operating theatres, one endoscopy procedure room and 90 car parking bays. Construction of a stand-alone Orthopedic Day Surgery Unit was completed in 2022 which consists of 2 operating theatres, 4 recovery beds and 6 second stage recovery bays. The hospital is operated as a joint venture between Evolution Healthcare and leading Hawke’s Bay orthopedic surgeons.

Located in the city of Hastings, Royston Hospital is the only private hospital in Hastings and one of only two hospitals in the Hawke’s Bay region which services 160,000+ residents. The surrounding area is predominantly residential with low density, single detached houses. The site is located approximately 4km from State Highway 2, which provides direct north-south access to Napier Central Business District.