Since its inception, the Hospital has focused on a distinguished medical faculty, state-of-the-art diagnostic services, and an ingrained ethical practice culture.

Since the company's inception and today, it has endured many storms to reach its enviable position as the country's most trusted healthcare provider. Seth Shri Thakurdas Choithram Pagarani arrived in Sierra Leone in 1938 and established his own business in 1944 under the name T. Choithram & Sons in a small way. Through his acumen and Midas touch, the business expanded worldwide. T. Choithram & Sons has a presence in 27 countries.

During his lifetime, he made a significant contribution to education and medical facilities as a philanthropist. In order to serve the local population and serve as a referral hospital, he wanted to build an ultramodern hospital in Freetown. Construction of Choithram Memorial Hospital (CMH) got underway in 1994 and was completed in 1997, adhering to his desire. The Hospital was not open to the public from 1997 to 1999 due to political instability. Further, the hospital was vandalized by miscreants who set fire to vehicles and equipment. It was rebuilt in 2000 and handed over to the United Nations Peacekeeping Forces (UNPKF), free of charge, on the condition that medical facilities would also be offered to the local population. The UNPKF worked alongside CMH Doctors until 2005.

With a team of Medical Experts drawn from various nations such as Sierra Leone, India, Pakistan, Egypt, Lebanon, Nigeria, etc., CMH took over complete control of the hospital in January 2006.