Healthcare Employment Agreement (Nevada)

comments and tailor or delete before execution.
3. Verify current NRS citations and Nevada State Board of Medical Examiners / Nevada State Board of Osteopathic Medicine rules.
4. Have Nevada-licensed counsel review before signature.
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HEALTHCARE EMPLOYMENT AGREEMENT

(Nevada — Physician / NP / PA)

This Healthcare Employment Agreement ("Agreement") is entered into as of [__/__/____] (the "Effective Date") by and between [EMPLOYER NAME], a [Nevada/Delaware] [professional corporation/limited liability company] with its principal place of business at [EMPLOYER ADDRESS] ("Employer"), and [CLINICIAN NAME], [MD/DO/NP/PA], residing at [CLINICIAN ADDRESS] ("Clinician"). Employer and Clinician are referred to individually as a "Party" and collectively as the "Parties."

1. RECITALS

A. Employer operates a [medical/dental/specialty] practice in the State of Nevada and is duly licensed under applicable provisions of NRS Chapters 630, 633, and 449.
B. Clinician is licensed to practice in Nevada under [NRS Chapter 630 / 633 / 632 / 633A] and holds License No. [________].
C. Employer desires to engage Clinician, and Clinician desires to be engaged by Employer, on the terms set forth below.

2. DEFINITIONS

3. ENGAGEMENT; DUTIES

3.1 Position. Employer hires Clinician as a full-time [physician/NP/PA] in the Practice Area.
3.2 Licensure & Credentialing. Clinician shall maintain at all times: (a) an unrestricted Nevada license; (b) DEA registration; (c) Nevada State Board of Pharmacy CS registration; (d) hospital privileges at [HOSPITAL]; and (e) board certification (or active candidacy) in [SPECIALTY].
3.3 Standard of Care. Clinician shall provide services in conformity with the standard of care recognized in Nevada and applicable Board regulations.
3.4 Compliance. Clinician shall comply with HIPAA, 42 C.F.R. Part 2 (where applicable), the federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b), Stark Law (42 U.S.C. § 1395nn), and the prohibition on fee-splitting in NRS § 630.305.

4. COMPENSATION & BENEFITS

4.1 Base Salary. Employer shall pay Clinician an annual base salary of $[________], payable in accordance with Employer's normal payroll cycle.
4.2 Productivity / wRVU Bonus. Clinician shall earn $[____] per wRVU above a threshold of [____] wRVUs annually. Bonus structure must comply with Stark "set in advance" requirements and reflect fair market value.
4.3 Sign-On / Relocation. Employer shall pay $[________] as a sign-on bonus, subject to pro-rata repayment if Clinician separates without Good Reason within [____] months.
4.4 Benefits. Health, dental, vision, [401(k)] with [____]% match, [____] days PTO, [____] CME days plus $[____] CME allowance.
4.5 Malpractice Coverage. Employer shall procure professional liability coverage of not less than $[1,000,000] / $[3,000,000] (claims-made) and shall purchase tail (extended reporting period) coverage at termination unless termination is for Cause by Employer, in which case Clinician shall procure tail at Clinician's expense.

5. TERM; TERMINATION

5.1 Initial Term. [____] years from the Effective Date, renewing for successive one-year terms unless either Party gives [90]-day written notice of non-renewal.
5.2 Termination Without Cause. Either Party may terminate on [90] days' written notice.
5.3 Termination for Cause by Employer. Immediate termination for: (a) loss/restriction of Nevada license; (b) loss of DEA; (c) exclusion from Medicare/Medicaid; (d) felony conviction or crime of moral turpitude; (e) material breach uncured after [30] days' notice; (f) Board disciplinary action.
5.4 Termination for Good Reason by Clinician. Material reduction in compensation, material relocation (>[35] miles), or uncured material breach.

6. RESTRICTIVE COVENANTS — NRS § 613.195 COMPLIANT

6.1 Non-Compete. During employment and for [twelve (12) months] following termination, Clinician shall not, within the Service Area, engage in the Practice Area for a competing employer. This covenant is supported by valuable consideration (the sign-on bonus, training, and access to Confidential Information) and is no broader than necessary to protect Employer's legitimate interests.
6.2 Patient-Choice Carve-Out. Consistent with NRS § 613.195(3), nothing herein restricts a former patient from voluntarily seeking services from Clinician, provided Clinician does not solicit such patient.
6.3 Non-Solicitation. For [twelve (12) months], Clinician shall not solicit Employer's employees or actively solicited patients.
6.4 Blue-Pencil. If any restriction is held unreasonable, the court may revise it per NRS § 613.195(6) to the maximum enforceable scope.
6.5 Fee-Shifting. If the restriction is held unenforceable as applied to an hourly-paid employee, Employer shall pay Clinician's reasonable attorneys' fees and costs (NRS § 613.195(5)).

7. CONFIDENTIALITY; HIPAA; RECORDS

7.1 Clinician shall maintain confidentiality of all Confidential Information and Protected Health Information indefinitely.
7.2 Patient records are property of Employer; Clinician shall comply with NRS Chapter 629 record-retention requirements (minimum 5 years; pediatric records until age of majority + statute of limitations).
7.3 Upon termination, Clinician shall return all Employer property and shall cooperate with continuity-of-care notifications to active patients.

8. ASSIGNMENT; CORPORATE PRACTICE

Clinician shall not assign this Agreement. Employer may assign to an affiliate or successor. The Parties intend this Agreement to comply with Nevada's permitted business structures for medical practice under NRS Chapter 89 (professional entities) and NRS § 449.103.

9. DISPUTE RESOLUTION

9.1 Governing Law. Nevada law, without regard to conflicts principles.
9.2 Venue. Eighth Judicial District Court, Clark County (or judicial district where Employer's principal office is located).
9.3 Arbitration. ☐ Arbitration elected (AAA Employment Rules, Las Vegas seat) ☐ Arbitration not elected
9.4 Injunctive Relief. Notwithstanding any arbitration election, either Party may seek injunctive relief in Nevada district court to enforce Sections 6 and 7.

10. GENERAL PROVISIONS

10.1 Entire Agreement. This Agreement supersedes prior negotiations.
10.2 Amendment. Only by writing signed by both Parties.
10.3 Notices. Personal delivery, certified mail, or nationally recognized overnight courier to the addresses above.
10.4 Severability. If any provision is invalid, the remainder shall be enforced and, where authorized, blue-penciled.
10.5 Counterparts; E-Signatures. Counterparts and electronic signatures permitted (NRS Chapter 719).

11. SIGNATURES

ACKNOWLEDGMENTS

☐ Clinician has received and reviewed the Employer compliance program.
☐ Clinician has been given the opportunity to consult independent counsel.
☐ Clinician understands the restrictive covenants in Section 6 and the NRS § 613.195 framework.
☐ Employer has confirmed malpractice coverage limits and tail obligations in Section 4.5.

SOURCES AND REFERENCES

• NRS § 613.195 — Noncompetition Covenants (as amended by AB 47 (2021); AB 11 (2023) vetoed)
• NRS Chapter 630 (MDs); NRS Chapter 633 (DOs); NRS § 630.305 (fee-splitting)
• NRS Chapter 89 (Professional Entities); NRS § 449.103 (corporate practice)
• HIPAA (45 C.F.R. Parts 160, 162, 164); Anti-Kickback (42 U.S.C. § 1320a-7b); Stark (42 U.S.C. § 1395nn)