For starters, you don't have the "RTMM Medical and APP Libraries FSXP3D" object library installed or the crane on the dock would be showing. It's also scenery tester object #11. If it shows when you run the scenery tester, then there's a problem in your object file installation somewhere.
Also, double check that the previously mentioned Navman's Retreat, your Medical Facilities, Dispatches, etc. are installed and active.
Steve