The current facility was built in the 1950's -- and it would cost more to remodel it -- about 49 million compared to building a new hospital at 30 million.
Pioneer Memorial CEO Bob Gomes says the board recommended the membership build a new facility and members agreed.
"In order to do what we need to do in healthcare, it would be real expensive to remodel the Prineville Hospital because you need to run the hospital as you remodel. The Board's recommendation is to build on a new site which is less expensive and gives us moe flexibility."
The hospital is considering two sites in Prineville -- one located in the Ironhorse subdivision and the other at the old Ochocco Lumber site.
If approved, by the St. Charles Board of Directors next week, the new facility woudl be completed around January 2015.