The hospital services the entire Kamonyi district, which has an approximate population of 265,000 people. The hospital serves patients who are referred from one of the 11 surrounding district health centers located in various villages around the district. The hospital is jointly operated by the Presbyterian Church of Rwanda and the Rwandan government. Remera Rukoma has inpatient wards for Internal Medicine, Maternal Health, Pediatrics, Neonatology, Post-Surgical patients, and a small Emergency ward. The hospital also offers outpatient services including an HIV and TB clinic.