Opening a Hospital in Nepal

Opening a Hospital in Nepal

Opening a Hospital in Nepal

Opening a Hospital in Nepal: A Complete Legal & Licensing Guide

The process of opening a hospital in Nepal has been structured under federal health laws, provincial regulations, and local government approvals. Therefore, a hospital cannot be operated legally unless all statutory requirements have been fulfilled. In this guide, the full legal, procedural, and compliance framework for opening a hospital in Nepal has been explained in a tutorial format, using verified laws and current regulatory practice.

This service-based guide has been prepared for investors, doctors, NRNs, health entrepreneurs, and foreign investors seeking legally compliant hospital establishment in Nepal.

Why Legal Compliance Is Mandatory for Opening a Hospital in Nepal

Before a hospital is opened, public health responsibility is imposed by law. Therefore, strict licensing and quality control obligations have been enforced by the Government of Nepal.

Under Nepal’s federal system, authority is shared by:

  • Ministry of Health and Population (MoHP)

  • Provincial Ministries of Social Development

  • Local Municipal Governments

As a result, hospital registration in Nepal has been regulated through multi-layer approvals.

Legal Framework Governing Opening a Hospital in Nepal

The following laws have been applied while opening a hospital in Nepal:

Law / Regulation

Legal Purpose

Public Health Service Act, 2075 (2018)

Governs healthcare delivery standards

Private Health Institution Operation & Management Directive, 2077 (Amended 2079)

Regulates private hospitals

Environment Protection Act, 2076

Environmental clearance

National Building Code (NBC)

Structural & safety compliance

Local Government Operation Act, 2074

Local-level approvals

Companies Act, 2063

Company incorporation

Labor Act, 2074

Employment compliance

All provisions above have been actively enforced during hospital licensing in Nepal.

Step-by-Step Process for Opening a Hospital in Nepal

Step-by-Step Process for Opening a Hospital in Nepal

Step 1: Company or Entity Registration (Mandatory)

Before a hospital license is applied for, a legal entity must be registered.

The following options are allowed:

Registration is completed at:

  • Office of Company Registrar (OCR)

After registration:

  • PAN registration is completed at IRD

  • VAT registration is completed if applicable

This step is mandatory for hospital registration Nepal.

Step 2: Land, Building & Zoning Approval

For opening a hospital in Nepal, land ownership or a long-term lease must be proven.

Required approvals include:

  • Municipal land-use clearance

  • Building permit under NBC

  • Fire safety clearance

  • Disability-friendly access certification

Without structural compliance, a hospital license in Nepal is not issued.

Step 3: Environmental Clearance Requirement

Hospitals are categorized as sensitive institutions. Therefore, environmental approval is required.

Hospital Size

Environmental Requirement

Up to 25 beds

Initial Environmental Examination (IEE)

26 beds and above

Environmental Impact Assessment (EIA)

Approval is granted by:

  • Provincial Environment Unit or MoFE

This step is mandatory for opening a hospital in Nepal legally.

Step 4: Minimum Infrastructure & Equipment Standards

Hospital infrastructure standards are defined under MoHP directives.

Facility Component

Legal Requirement

OPD & Emergency

Separate functional units

Operation Theatre

Sterile environment

Pharmacy

Licensed pharmacist

Laboratory

Qualified lab technologist

Waste Management

Bio-medical waste protocol

Compliance is inspected before hospital licensing Nepal approval.

Step 5: Human Resource & Medical Council Compliance

All medical professionals must be registered with respective councils.

Profession

Regulatory Body

Doctors

Nepal Medical Council

Nurses

Nepal Nursing Council

Pharmacists

Nepal Pharmacy Council

Lab Staff

Nepal Health Professional Council

Without council registration, a hospital cannot be approved.

Step 6: Application for Hospital License in Nepal

Once all documents are prepared, an application is submitted.

Licensing Authority (Based on Federal Structure)

Hospital Category

Authority

Primary / Basic Hospital

Local Municipality

Secondary Hospital

Provincial Ministry

Tertiary / Specialized Hospital

Ministry of Health & Population

This step finalizes opening a hospital in Nepal.

Documents Required for Hospital Registration Nepal

Document

Status

Company Registration Certificate

Mandatory

PAN / VAT Certificate

Mandatory

Land Ownership / Lease

Mandatory

Building Completion Certificate

Mandatory

Environmental Approval

Mandatory

Equipment List

Mandatory

Staff Appointment Letters

Mandatory

Council Registrations

Mandatory

Missing documents result in rejection.

Cost Breakdown for Opening a Hospital in Nepal

Estimated costs vary by scale.

Hospital Type

Estimated Investment (NPR)

10–15 Bed Hospital

2–4 Crore

25 Bed Hospital

4–7 Crore

50+ Bed Hospital

10+ Crore

Legal compliance cost remains unavoidable.

Timeline for Hospital Licensing in Nepal

Stage

Estimated Time

Company Registration

7–10 days

Infrastructure Approval

30–60 days

Environmental Clearance

45–90 days

Final License

15–30 days

Delays occur if compliance gaps are identified.

Foreign Investment & NRN Hospital Setup in Nepal

For foreign or NRN investors:

  • FDI approval is obtained from DOI

  • Minimum investment threshold applies

  • Repatriation rules are followed

FDI hospitals must still comply with opening a hospital in Nepal regulations.

Common Mistakes While Opening a Hospital in Nepal

The following errors are frequently observed:

  • Land zoning non-compliance

  • Underqualified medical staff

  • Incomplete waste management plan

  • Improper environmental filing

Such mistakes delay hospital license Nepal approval.

How Nepallawyer can Assists in Hospital Registration

At Nepallawyer

  • Legal feasibility analysis is conducted

  • Licensing documentation is prepared

  • Government coordination is handled

  • Post-licensing compliance is supported

End-to-end legal assistance is provided for opening a hospital in Nepal.

FAQs: Opening a Hospital in Nepal

Is hospital registration mandatory in Nepal?

Yes. Hospital registration Nepal is mandatory under the Public Health Service Act.

Can a private hospital be opened in Nepal?

Yes. Private hospitals are allowed under the Private Health Institution Directive.

How long does hospital licensing take in Nepal?

Usually, 3–6 months are required if documents are complete.

Can foreigners open a hospital in Nepal?

Yes. FDI approval is required before licensing.

Which authority issues hospital licenses in Nepal?

Licensing authority depends on hospital level: local, provincial, or federal.

Is environmental clearance compulsory?

Yes. Environmental approval is compulsory for all hospitals.

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