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 1: Company or Entity Registration (Mandatory)
Before a hospital license is applied for, a legal entity must be registered.
The following options are allowed:
-
Public Limited Company
-
Non-Profit Organization (Trust)
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.