Gradian Health Systems is a nonprofit medical device company that equips low-resource hospitals to perform safe surgery, founded in 2011 by the Nick Simons Foundation. It manufactures, sells, and distributes equipment that it supports with clinical and technical training and ongoing customer service to ensure that hospitals in developing countries can deliver high-quality surgical and anesthesia care.


Its core technology, the Universal Anaesthesia Machine, is a CE-certified anesthesia workstation designed to function without electricity and oxygen, helping its users operate with confidence regardless of their environment.

Since its establishment in Nepal in 2006, the Nick Simons Institute (NSI) has received generous funding from the Nick Simons Foundation to train and support healthcare workers in Nepal.

Over the years, NSI has addressed stubborn healthcare problems and continued capacity development while steadily moving toward quality healthcare for the Nepali people. NSI provides in-service training supplemented by a district hospital support program to assess, coach and aid health worker performance.