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If you do, you will see that this mod has no errors, so your problem is not from this mod.
I'm pretty sure that in the future i will work on this
I tested with no other mods installed, and the only sandbox setting changed from Apocalypse is the player spawn area set to "zombies can spawn anywhere," and the hospital is still empty every time.
I also tested a completely unmodded game, with that setting changed, and never got any zombies spawned in my building. Even with the Population multiplier set to Insane, I would have dozens of zombies outside, but none in the building. It seems like this is an issue with Project Zomboid, not your mod.
start a new sandbox game then go to "zombie" section and look for "player spawn area" option, then select "Zombies can spawn everywhere"