The hospital was started in 1909 by the Church of Scotland. It is owned and governed by the Presbyterian Church of East Africa. It is located in the Central Highlands of Kenya between the Aberdares Range and Mount Kenya 130 Km (80 Miles) North of Nairobi at altitude of 5,900ft. It is a 203 bed hospital and provides holistic health care. 

It provides general health care in medicine, surgery, pediatrics, obstetrics and gynecology as well as outpatient services.

The hospital has a Training College which is which is fully accredited by the Nursing Council of Kenya and Kenya Nutrition and Dietetics Institute to train their respective courses. Other units are the Guest House and a Cafeteria.

The Hospital Director, the Chief Medical Officer, the Hospital Administrator, the Nursing Officer in Charge, the Principal Tutor, the Hospital Chaplain and the Finance Manager are the members of Hospital Administration Team (HAT). The Heads of Department work under the HAT