Nevada Code § 450.191

Contract for management of hospital
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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 contractors
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 contractors 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.

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