Human Development and Community Services (HDCS) and United Mission to Nepal (UMN) in pursuit of a lasting and sustainable future for the UMN hospitals in Tansen and Okhaldunga signed a Memorandum of Understanding in June 2006. This agreement took into consideration the current political changes in Nepal, the delay in the signing of the HDCS/Ministry of Health agreement and also the need for clarification of some issues, which arose from the previous agreement.

Both hospitals currently remain UMN hospitals, as per the request of the Government of Nepal but UMN has requested HDCS to manage the running of the two hospitals on behalf of UMN, according to the traditional UMN mission, vision and values.

UMN will continue to offer financial support to HDCS as per the agreed 3 year Transition Plan budget and UMN will also continue to recruit and send expatriate personnel to the two hospitals.