The operation and maintenance of the Shell Hospital requires a great deal of coordination between the personnel that operate there and especially the Ecuadorian government.

More than 60 years ago, a group of young American missionaries arrived in the dense jungles of Ecuador. Jim Elliot and his companions put all their enthusiasm in this project, the Waorani Indians (formerly known as Auca) had to listen to the joyful and liberating message of Jesus Christ. That is why they decided to preach it, for their dedication the young people paid with their lives, but others took their place and continued with courage. Shortly thereafter, the HCJB Mission hospital in Shell was opened. In which the five martyrs had helped with the construction and later provided medical attention to the Waorani (or Huaurani) and other indigenous tribes.

Vozandes del Oriente Hospital worked for 55 years, before it closed at the end of 2013. The HCJB Radio Mission changed its priorities to another strategy to work in regions where people never heard the message of Jesus Christ. In addition, one cause of the closure was the economic deficit, but the need for personalized attention with warmth, focused on the vulnerable population and the spiritual and medical need is still there. We see ourselves as witnesses for Christ in the spirit of Jim Elliot, Nate Saint, Pete Fleming, Roger Youderian, and Ed McCulley.