Integrated Healthcare System

Our healthcare delivery model is designed to be comprehensive and guard against the shortcomings of more limited forms of care. In Nepal we work to realize the constitutional right to free healthcare by being:

Comprehensive: healthcare services are delivered in holistic way; screening, counseling, treatments, and follow ups from the hospital to the home

Disease-Driven: healthcare investments are targeted at the biggest drivers of morbidity and mortality

Adaptive: the healthcare system can evolve to meet new needs and unanticipated calamities, from earthquakes to epidemics.


In practice, the delivery model is structured to provide integrated care between hospitals and community health workers. This focus on integrating care across hospitals and community health workers allows for the kind of high-access, comprehensive care patients need.

The goals of this model are to spend under $25 per person and improve four key health outcomes for an entire population.

“It is a model with all the right pieces— it reaches the poorest, government resources are leveraged, and data and transparency are used to prove that results demand more investment.”

+  Governor Howard Dean, M.D.


Durable Healthcare

Traditional models of healthcare operating on their own fail to solve the problems of the world’s poorest patients.

The poorest can’t access the private sector due to cost. The public sector fails to deliver on quality. And philanthropy can produce pockets of excellence, but can’t achieve the scale needed.

As a result, there is a huge market of people who are not served by these three standard approaches. But there is a fourth way — what we call durable healthcare.

Durable healthcare is a healthcare system design that solves for the poorest patients. It’s a public-private partnership that enables a nonprofit healthcare company to be paid by the government to deliver healthcare within the government’s infrastructure.

It brings together the quality of the private sector, access of the public sector, and innovation enabled by philanthropy. And it ties core financing to performance.

Learn more about Durable Healthcare in our latest TEDx talk.

“This design brings together the best assets of each sector: the government finances and provides infrastructure, we bring management acumen and only get paid if we deliver outcomes. Most importantly, because we are a nonprofit healthcare company, we only need to achieve cost recovery, not profitability. That changes everything. It allows us to go where no private company would see opportunity and use the combination of government funding and philanthropy to build a system that works fully for the poor.”

+ Mark Arnoldy, CEO



Durable Healthcare

Designed For Scale

Why Nepal?