In 2002, a young American named Nick Simons came to work in Nepal. Despite the cultural and language barriers, he stayed for 9 months and when he returned home to New York his fondness for Nepal remained. He told his mother not to be surprised if he wound up spending his life in a country like Nepal. He enrolled in the remaining courses that would allow him to apply to medical school.

He told his mother not to be surprised if he wound up spending his life in a country like Nepal.


During the summer of 2003, Nick drowned while swimming in Bali. A little more than two months after his death, his parents, sister, and a handful of friends came to Nepal hoping to create some tangible goodness in a place they knew almost nothing about. They first funded a Maternity Ward for Patan Hospital.

Several groups of people formed around this idea. A task force gave way to a Board of Directors and the staff of the organization began to fill in posts. The young man's parents Jim and Marilyn came back to Nepal twice every year. They eventually travelled to some of the remotest parts of the country, visiting eight hospitals that would become partners of the emerging Nick Simons Institute. They said, “Nepal is a gift that Nick gave us, and we have met so many wonderful people here whom otherwise we never would have known.”

What has formed is not just a development organization. People have come to know not just the programs, but the people and the story behind them. NSI was established in 2006 in the memory of Nick Simons, a young man from America who worked in Nepal, grew to love the country, and died in 2003. It is a non-governmental philanthropic organization whose aim is to enhance the rural healthcare services. Initially it was registered as a Private Limited Company. On 17 August 2015, it was registered with the Lalitpur District Administration Office and has now been operating as an NGO. The organization is governed by the Executive Committee of distinguished Nepalese professionals.