Nevada Revised Statutes
Chapter 450 - County Hospitals and Hospital Districts
NRS 450.191 - Contract for management of hospital.


1. The governing body of a county hospital may contract with a company which manages hospitals for the rendering of management services in a county hospital under the ultimate authority of the governing body.
2. The agreement may provide:
(a) That the administrator of the hospital must be an employee of the company which manages the hospital; and
(b) Except as otherwise provided in this paragraph, that the hospital may, in accordance with the requirements of NRS 450.530, purchase supplies, materials, equipment and services through the purchasing contracts of the company which manages the hospital, or through a purchasing group, without complying with the requirements for competitive bidding set forth in chapter 332 of NRS. The hospital may not purchase services or otherwise enter into an agreement pursuant to this paragraph for:
(1) The hiring of temporary or permanent staff through a vendor or employment agency to perform any medical or nursing care.
(2) Any work for which a contractor’s license issued pursuant to chapter 624 of NRS is required.
The provisions of this paragraph do not prohibit the hospital from purchasing specialty equipment which requires installation services that must be performed by a person who holds a contractor’s license issued pursuant to chapter 624 of NRS and which are specific to a particular project and are not commonly used in public works projects.
(Added to NRS by 1975, 1101; A 1979, 444; 1987, 295; 1999, 191; 2019, 3580)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 450 - County Hospitals and Hospital Districts

NRS 450.005 - Definitions.

NRS 450.006 - "Allied health profession" defined.

NRS 450.008 - "Purchasing group" defined.

NRS 450.010 - "Taxpayers" defined.

NRS 450.020 - Procedure.

NRS 450.030 - Petition signed by at least 30 percent of taxpayers; submission of question at next general election.

NRS 450.040 - Petition signed by at least 50 percent of taxpayers; submission of question at next primary or general election.

NRS 450.043 - Motion of board of county commissioners; submission of question at special election or next primary or general election.

NRS 450.045 - Approval of bond issue; appointment of board of hospital trustees; issuance and sale of bonds.

NRS 450.050 - Administration, control and government of county hospitals acquired by purchase or construction under provisions of certain legislative acts.

NRS 450.060 - Acquisition of additional building or site when board of hospital trustees assumes control of existing hospital.

NRS 450.070 - Number; election; terms of office.

NRS 450.080 - Office of hospital trustee nonpartisan.

NRS 450.090 - Selection of county commissioners for membership on board.

NRS 450.100 - Oath and bond.

NRS 450.110 - Vacancies.

NRS 450.120 - Officers of board.

NRS 450.130 - Compensation and expenses of trustees.

NRS 450.135 - Interest in purchase of supplies prohibited; exception.

NRS 450.140 - Meetings of board; quorum; closed meetings.

NRS 450.150 - General powers and duties of board.

NRS 450.160 - Rules and regulations.

NRS 450.165 - Board authorized to acquire building or other facility for provision of health care in county adjacent to county where hospital is established; board authorized to issue special obligations to finance facility.

NRS 450.170 - Visits and examinations of hospital; report to board of county commissioners.

NRS 450.175 - Hospital advisory board in certain counties: Appointment; powers and duties; compensation of members.

NRS 450.180 - Employment or removal of employees or appointed persons; contract for medical services.

NRS 450.191 - Contract for management of hospital.

NRS 450.200 - Condemnation of property for use by hospital.

NRS 450.210 - Approval of plans and specifications for construction of hospital; advertisement of bids.

NRS 450.220 - Gifts and bequests to hospital: Title vested in county; control by board of hospital trustees.

NRS 450.230 - Budget.

NRS 450.240 - Management of county hospital by board; levy of tax for maintenance and operation.

NRS 450.250 - Control of expenditures by board; lease of buildings; deposit of money in hospital fund or separate account.

NRS 450.255 - Mortgage or pledge of personal property of hospital; acquisition of real property for expansion.

NRS 450.260 - Collection or settlement of claims.

NRS 450.270 - Maximum amount.

NRS 450.280 - Purposes and procedure for issuance of general obligation bonds at request of board of hospital trustees.

NRS 450.290 - Issuance of general and special obligation bonds by board of county commissioners.

NRS 450.300 - Applicability of Local Government Securities Law.

NRS 450.310 - Schedules of fees, rates and charges for services, facilities and commodities.

NRS 450.390 - Hospital for benefit of county; payment of charges; exclusion of persons from use of hospital.

NRS 450.400 - Extension of privileges and use of hospital to certain nonresidents: Notice; removal of person to resident county; payment for temporary care; action for recovery of charges.

NRS 450.410 - Admission of paying patients; charges.

NRS 450.420 - Board of county commissioners to determine status of patient; charges fixed by board of hospital trustees; costs chargeable to county; exceptions.

NRS 450.425 - Board of county commissioners may levy ad valorem tax to pay cost of services rendered at hospital to certain persons admitted for emergency treatment.

NRS 450.430 - Equal privileges of practitioners; exception; rights of patients; loss of hospital privileges not adverse action against physician in certain circumstances.

NRS 450.440 - Staff of physicians: Organization; affiliation with university; rotation of service; assistance.

NRS 450.450 - General administration of hospital subject to regulations of trustees.

NRS 450.455 - Program for training resident physicians.

NRS 450.460 - School for training nurses.

NRS 450.470 - Room for examination of persons alleged to be in mental health crisis; room for custodial supervision of persons in mental health crisis and dangerous persons.

NRS 450.480 - Use of paramedics for emergency care authorized.

NRS 450.485 - Contract for use of facility for intermediate care or facility for skilled nursing.

NRS 450.490 - Conveyance or lease of hospital to corporation.

NRS 450.500 - Conveyance or lease of hospital to nonprofit corporation.

NRS 450.510 - County whose population is less than 100,000 may contract with community nonprofit hospital for care of indigent patients; enlargement or alteration of hospital.

NRS 450.520 - Determination that emergency exists before submission of certain questions at special election.

NRS 450.525 - Membership of hospital in purchasing group.

NRS 450.530 - Purchase of supplies, materials, equipment and services through certain purchasing contracts or purchasing group without complying with certain requirements for competitive bidding.

NRS 450.550 - Definitions.

NRS 450.560 - Establishment of district on motion of board of county commissioners.

NRS 450.570 - Notice of intent to establish district: Contents; publication.

NRS 450.580 - Objections to formation of district; hearing.

NRS 450.590 - Establishment of district: Petition of owners of property; adoption, contents and publication of resolution of intention to establish district; exception.

NRS 450.600 - Hearing on petition.

NRS 450.610 - Resolution creating district.

NRS 450.620 - Enactment of ordinance regarding number, terms and election of trustees; service of board of county commissioners ex officio as board of trustees.

NRS 450.625 - Trustees of district that includes territory within more than one county.

NRS 450.630 - General powers and duties of board of trustees; rules and regulations.

NRS 450.640 - Employees and staff of hospital: Appointment to board of chief of staff of physicians for district hospital; appointment by board of chief executive officer and necessary assistants for hospital; compensation; removal; admission.

NRS 450.650 - Budgets.

NRS 450.660 - Tax levies; disposition of proceeds.

NRS 450.665 - Powers of board of trustees: Borrowing of money and incurrence or assumption of indebtedness; limitations and conditions.

NRS 450.670 - Powers of board of trustees: Issuance and sale of bonds for certain purposes.

NRS 450.675 - Powers of board of trustees: Mortgage or pledge of personal property and acquisition of real property.

NRS 450.680 - Election concerning issuance of bonds; applicability of Local Government Securities Law.

NRS 450.690 - Donations.

NRS 450.700 - Board of trustees to determine status of patient and fix charges.

NRS 450.710 - Creation of district for sole purpose of contracting for services of hospital.

NRS 450.715 - Authority of board of trustees to contract for services of hospital.

NRS 450.720 - Contract for management of district hospital.

NRS 450.725 - Membership of district hospital in purchasing group.

NRS 450.730 - Purchase of supplies, materials, equipment and services through purchasing contracts or purchasing group without complying with certain requirements for competitive bidding.

NRS 450.750 - Board of county commissioners in certain districts deemed local government responsible for transferring certain payments of money.

NRS 450.751 - Dissolution of hospital district in county whose population is less than 700,000: Determination that dissolution is in best interest required; ordinance of board of county commissioners; considerations; duties of county clerk.

NRS 450.753 - Dissolution of hospital district: Right of qualified electors to protest; dissolution prohibited if majority of qualified electors protest; dissolution by final ordinance; recital of protests.

NRS 450.755 - Dissolution of hospital district: Hearing; full consideration of all protests required; adoption of final ordinance of dissolution or ordinance of nondissolution by board of county commissioners.

NRS 450.757 - Dissolution of hospital district: County clerk must file final ordinance of dissolution; locations.

NRS 450.759 - Dissolution of hospital district in county whose population is less than 700,000: Unpaid taxes, levies and assessments are lien on property; power of board of county commissioners to collect.

NRS 450.760 - Dissolution of hospital district in county whose population is less than 700,000: Retirement of outstanding debt and other obligations; levy of property tax; disposition of property.

NRS 450.800 - County or district hospital may contract for services.

NRS 450.810 - Lease of naming rights relating to public hospital; ordinance establishing procedures for lease; enterprise fund for proceeds of lease, fees or charges and other money received for public hospital.