Document:

EX-10.4

 Exhibit 10.4 

AMENDED AND RESTATED CHIEF FINANCIAL OFFICER EMPLOYMENT AGREEMENT 

This EMPLOYMENT AGREEMENT (“Agreement”), dated as of the 12th day of February, 2018 (the “Effective Date”), is entered into
by and between CRH Medical Corp, a Delaware corporation (“Company”), and Richard Bear (“Employee”) (each a “Party” and collectively the “Parties”). The Parties, in consideration of
the mutual covenants and representations, Employee’s continued employment, the increased benefits to the Employee outlined in Section 6, and the additional consideration of $500.00 paid to Employee upon entering into this Agreement, agree
to amend and restate the terms of the existing employment agreement between the Employee and the FCompany most recently amended on April 7, 2017 (“Existing Agreement”) as follows: 

1.    Employment. Company employs Employee and Employee agrees to accept such employment, upon
the terms and conditions set forth in this Agreement. 
 2.    Term of Employment.
Employee’s Employment pursuant to the terms of this Agreement shall continue following the Effective Date hereof. Employee’s employment and this Agreement may be terminated pursuant to the terms of this Agreement, or at any time, with or
without Cause and with or without notice, by either Employee or Company. Employee specifically acknowledges and agrees that his employment under this Agreement is “at-will.” This Agreement supersedes
the Existing Agreement. 
 3.    Position, Duties, Responsibilities. 

3.1    Position. Employee is employed by the Company in the position of Chief Financial Officer (“CFO”)
and shall perform all services appropriate to that position for an organization the size of the Company that is engaged in the type of business engaged in by the Company, provided that Employee’s precise duties may be changed or extended from
time to time, at the Company’s direction, and Employee shall assume and perform further reasonable responsibilities and duties that the Company may assign from time to time. Employee will report directly to the Chief Executive Officer
(“CEO”) of the Company. 
 3.2    Other Activities. Employee will devote all of his working time,
attention, knowledge and skills as is reasonably required under this Agreement to diligently, competently and effectively perform his duties. During the term of this Agreement, except upon the prior written consent of the Company, Employee will not
(i) accept any other full-time or part-time employment, (ii) engage, directly or indirectly, in any other business activity (whether or not pursued for pecuniary advantage) that is or may be in conflict with, or that might place Employee
in a conflicting position to that of the Company, or prevent Employee from devoting such time as necessary to fulfill his responsibilities under this Agreement, (iii) sell, market, or represent any product or service other than the
Company’s products or services unless otherwise specified, or (iv) serve on any board of directors for any other company except with the consent of the Company, which consent will not be unreasonably withheld. Nothing in
Section 3.2(iv) is intended to or does prevent Employee from serving on the board of directors of trade associations and charitable organizations, engaging in charitable activities and community affairs, or managing Employee’s personal
investments and affairs, provided that these activities do not interfere with Employee’s obligations under this Section 3. 

3.3    Work Location. Employee’s principal place of work shall be located in Bellevue, Washington, or such
other location as the parties may agree upon from time to time. 
 4.    Compensation. 

In consideration of the services to be rendered under this Agreement, Employee shall be entitled to the following: 

4.1    Base Salary. The Company shall pay to Employee an annual base salary of three hundred and fifty thousand
dollars ($350,000), less all applicable taxes and withholdings, which will be payable in accordance with the Company’s payroll practices, as amended from time to time (“Base Salary”). 

  

			
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 4.2    Bonus. At the Company’s sole discretion. Employee may
be eligible to receive an annual forty percent (40%) bonus based upon metrics agreed to between Employee and the Company, payable no later than March 15 of each year for work performed in the preceding calendar year (“Bonus”). In
order to be eligible to receive any Bonus, except as otherwise set out in Section 6 below, Employee must be employed with the Company at the time of issue of any Bonus. 

4.3    Employee Benefits. While Employee is employed with the Company, Employee shall be entitled to participate in
all employee benefit plans and programs of the Company to the extent that Employee meets the eligibility requirements for each individual plan or program. The Company provides no assurance as to the adoption or continuance of any particular employee
benefit plan or program, and Employee’s participation in any such plan or program shall be subject to the provisions, rules, and regulations applicable to each benefit plan or program. 

4.4    Vacation. Employee shall be entitled to four (4) weeks of paid vacation per year, which will be in
accordance with and subject to the Company’s policies and as set out in this Section 4.4. 

4.5    Expenses. The Company shall reimburse Employee for reasonable business expenses incurred by Employee in the
performance of his duties hereunder in accordance with the Company’s general policies, subject to proof of payment by Employee. 

4.6    Equity Compensation. Employee’s participation in the Company’s Share Unit Plan established by the
Company, or any successor plan thereto, as such may be amended from time to time in accordance with its terms (the “Plan”), shall be subject to the terms, conditions, regulations and provisions applicable to the Plan and to the terms and
conditions of the Share Unit Plan Grant Agreement and any amendments entered into between Employee and the Company. 

5.    Definitions and Effect of Termination. 

5.1    Definitions of Cause. For purposes of this Agreement, “Cause” is defined as: 

 

	 	i.	 Any gross negligence or willful or intentional act or omission of Employee having the effect or reasonably
likely to have the effect of injuring the reputation, business, or business relationships of the Company in any way as determined in the discretion of the Company. If in the Company’s discretion, the gross negligence or willful or intentional
act or omission of Employee has not yet had the effect of injuring the reputation, business or business relationships of the Company in any way as determined in the discretion of the Company, the Company will provide written notice to Employee of
the gross negligence or willful or intentional act or omission of Employee, and provide him an opportunity to cure and/or present Employee’s case to the contrary to the CEO, and as determined in the discretion of the Company, Employee has not
remedied such gross negligence or willful or intentional act or omission of Employee within fifteen (15) business days of the notice or other longer cure period as may be specified by the Company; 

 

	 	ii.	 Employee has engaged in a failure or refusal to carry out the reasonable and lawful duties of his position or
the CEO’s lawful directives, provided that the Company provides written notice to the Employee notifying him of such failure, and an opportunity to cure and/or present his case to the contrary to the Board, if applicable, and Employee does not
remedy such failure or refusal within fifteen (15) business days or other longer cure period as may be specified by the Company; 

  

	 	iii.	 Any unethical or dishonest conduct engaged in by Employee in the course of his employment with the Company,
including but not limited to dishonesty or falsification of any employment or Company records; 

  

	 	iv.	 Any conviction of or plea or nolo contendere or the equivalent in respect to any felony offense or crime
involving dishonesty or moral turpitude by Employee; 

  

			
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	 	v.	 Employee’s use of alcohol interfering with the performance of Employee’s obligations under this
Agreement or Employee’s use of illegal drugs or abuse of prescription medications, provided that the Company provides written notice to the Employee notifying him of such conduct, and an opportunity to cure and/or present his case to the
contrary to the Board, if applicable, and Employee does not remedy such conduct within fifteen (15) business days or other longer cure period as may be specified by the Company; 

 

	 	vi.	 Any violation or breach by Employee of any term of this Agreement, including but not limited to any breach by
Employee of his fiduciary duties to the Company, and/or any violation or breach by Employee of any term of the Proprietary Information Agreement discussed in Section 7 below. 

5.2    Definition of Change of Control. For purposes of this Agreement, “Change of Control” is defined as
any of the following: 
  

	 	i.	 Change in the Ownership of the Company: A change in the ownership of a corporation occurs on the date
that any one person, or more than one person acting as a group (as defined in 26 C.F.R. § 1.409A-3(i)(5)(v)(B)), acquires ownership of stock of the corporation that, together with stock held by such
person or group, constitutes more than 50 percent of the total fair market value or total voting power of the stock of such corporation. 

  

	 	ii.	 Change in the Ownership of a Substantial Portion of a Corporation’s Assets: A change in the
ownership of a substantial portion of a corporation’s assets occurs on the date that any one person, or more than one person acting as a group (as defined in 26 C.F.R. § 1.409A-3 (i)(5)(v)(B)),
acquires (or has acquired during the 12—month period ending on the date of the most recent acquisition by such person or persons) assets from the corporation that have a total gross fair market value equal to or more than 80 percent of the
total gross fair market value of all of the assets of the corporation immediately before such acquisition or acquisitions. For this purpose, gross fair market value means the value of the assets of the corporation. or the value of the assets being
disposed of, determined without regard to any liabilities associated with such assets. There is no change of control event under this paragraph when there is a transfer to an entity that is controlled by the shareholders of the transferring
corporation immediately after the transfer, as provided for in 26 C.F.R. § I .409A-3 (i)(5)(vii)(B). 

  

	 	iii.	 Change in the Effective Control of the Company: A change in the effective control of the corporation
occurs only on either of the following dates: 

  

	 	a.	 The date any one person, or more than one person acting as a group (as defined in 26 C.F.R. § 1.409A-3 (i)(5)(v)(B)), acquires (or has acquired during the 12—month period ending on the date of the most recent acquisition by such person or persons) ownership of stock of the corporation possessing
30 percent or more of the total voting power of the stock of such corporation; or 

  

	 	b.	 The date a majority of members of the corporation’s board of directors is replaced during any 12-month period by directors whose appointment or election is not endorsed by a majority of the members of the corporation’s board of directors before the date of the appointment or election, provided that for
purposes of this Section the term “corporation” refers solely to the relevant corporation as defined in 26 C.F.R. § 1.409A-3(i)(5)(ii) for which no other corporation is a majority shareholder
for purposes of that paragraph 26 C.F.R. § 1.409A-3(i)(5)(ii). 

5.3    Definition of Disability. For purposes of this Agreement, “Disability” is defined as follows: if
Employee is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or can be expected to last for a continuous period of not less than 12
months, or is, by reason of any medically determinable physical or mental impairment that can be expected to result in death or can be expected to last for a continuous period of not less than 12 months, receiving income replacement benefits
for a period of not less than 3 months under an accident and health plan covering employees of the participant’s employer. 

  

			
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 5.4    Definition of Good Reason. For purposes of this Agreement,
“Good Reason” is defined as follows: 
  

	 	i.	 A material reduction of Employee’s Base Salary without his written consent other than in connection with a
commensurate reduction (in percentage terms) in the base salaries of all officers of the Company holding the title of vice president or above: or 

  

	 	ii.	 A requirement that Employee relocate his primary work location to a location more than 50 miles from Bellevue,
Washington; or 

  

	 	iii.	 A material change in Employee’s primary job responsibilities without his written consent; or

  

	 	iv.	 The Company’s failure to make all or any portion of any payments due to Employee pursuant to this
Agreement within a reasonable time after such payments are due. 

 A termination of employment by Employee for any of the
reasons in this Section 5.4 will not constitute “Good Reason” unless (i) Employee has given written notice to the Company within the 90-calendar day period immediately following his
discovery of the occurrence of such Good Reason event (or if earlier, the date he is notified in writing), specifying in reasonable detail the events relied upon for termination, and (ii) the Company has not remedied such events within thirty
(30) business days after receiving Employee’s notice. Employee must terminate his employment within thirty (30) calendar days following the expiration of such cure period for the termination to be on account of Good Reason. 

5.5    Definition of Resignation Notice. For the purposes of this Agreement, “Resignation” is defined as
a termination of Employment by the Employee without Good Reason by providing notice to the Company as follows: 
  

	 	a)	 where the effective date of termination set forth in the notice is prior to July 1, 2020, by giving at
least ninety (90) days of notice of termination to the Company; or 

  

	 	b)	 where the effective date of termination set forth in the notice is July 1, 2020 or later, by giving six
(6) months of notice of termination to the Company. 

 5.6    Effect of Termination. Upon
termination of Employee’s employment with the Company, regardless of whether such termination is initiated by Employee or the Company, Employee shall be deemed to have resigned from all positions (including all officer positions) then held with
the Company. Employee agrees that for a period of six (6) months following any termination of employment, unless the termination is for Cause, Employee shall fully cooperate with the Company in all matters relating to his continuing obligations
under this Agreement, including but not limited to the winding up of pending work on behalf of the Company and the orderly transfer of work to other employees of the Company, provided that Employee shall not be expected to incur any out of pocket
cost or expense or devote any material time with respect to such cooperation. In the course of such cooperation, the Company shall use commercially reasonable efforts to limit the information received by the Employee from the Company after
termination to information that is not publicly undisclosed material information relating to the Company. 

6.    Termination Payments. 

6.1    Payment Through Termination. All compensation and benefits set forth in this Agreement will terminate
effective on the date of termination of Employee’s employment with the Company, except Employee shall be entitled to receive the following: 
  

	 	i.	 Employee’s accrued but unpaid Base Salary, subject to lawful deductions, through the effective date of
“termination; 

  

	 	ii.	 Reimbursement of reasonable business expenses incurred by Employee in the performance of his duties hereunder
in accordance with the Company’s general policies, subject to proof of payment by Employee. 

  

			
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 Upon termination or separation of Employee’s employment for any reason, whether voluntary or
involuntary, Employee shall not be entitled to any severance payments, except for the reasons specifically outlined in this Section 6. 

6.2    Severance Pay for Termination without Cause or for Good Reason. Except as set forth below in.
Section 6.3, in the event the Company seeks to terminate this Agreement and the employment of Employee without Cause, or the Employee terminates his employment for Good Reason or provides Resignation Notice in accordance with
Section 5.5(b), then the Company shall pay to Employee the following: 
  

	 	i.	 a sum equal to eighteen (18) months’ Base Salary, subject to lawful deductions;

  

	 	ii.	 an amount equal to the Bonus that Employee would have received if Employee had been employed with the Company
at the time of issue of any Bonus, determined by the Board in good faith exercising its reasonable discretion and prorated based upon the number of days elapsed in the preceding calendar year through the effective date of termination, subject to
lawful deductions. For example, if Employee’s employment is terminated effective March 15 and, at the end of the calendar year in which the Employee’s employment was terminated, the Board determines certain metrics have been met that
would trigger the Bonus provision in Section 4.2, Employee will receive a prorated amount based upon the number of days elapsed in the preceding calendar year through March 15; 

 

	 	iii.	 COBRA coverage for Employee’s own medical premium under the Company’s existing health care plan, for
up to eighteen (18) months, as allowed under COBRA. as long as Employee completes all required documentation to obtain such coverage and only if he remains eligible for COBRA coverage. Any amounts under this Section. 6.2.iii. will be paid
directly to the Company’s health care provider. If at any time during this eighteen (18) month period, Employee secures equivalent or greater benefits, the Company’s payment of Employee’s benefits under this Section 6.2.iii,
will automatically cease. Employee agrees that he will not waive any opportunity to obtain such benefits, and further agrees that he will promptly notify the Company in the event he does obtain such benefits. Nothing in this Section 6.2.iii. is
intended to or does create any other rights or obligations of any kind on the part of the Company with regard to payment of Employee’s COBRA coverage, except those specifically required by law, 

Severance pay for involuntary termination without Cause, or for Good Reason, may not be distributed before the date which is six months after the date of
separation from employment (or, if earlier, the death of Employee), but shall be paid, in a lump sum, no later than five (5) business days after expiration of such six month period. 

6.3    Severance Pay for Termination as a Result of a Change of Control of the Company. In the event
Employee’s employment terminates: (a) as a result of an involuntary termination without Cause within thirteen (13) months after a Change of Control of the Company; or (b) as a result of termination by Employee for Good Reason
within twelve (12) months after a Change of Control of the Company (subject to the qualification set forth in this Section below regarding termination for Good Reason); or (c) as a result of Employee choosing to terminate his employment
for any reason or no reason at all within thirty (30) calendar days after twelve (12) months have elapsed following a Change of Control, then the Company shall pay to Employee the following: 

 

	 	i.	 a sum equal to twenty-four (24) months’ Base Salary, subject to lawful deductions;

  

	 	ii.	 a bonus amount commensurate with the period set forth in Section 6.3.i. above. For purposes of calculating
the bonus amount commensurate with Section 6.3.i., the amount shall be calculated by taking the average bonus received by Employee from the two (2) Bonus payments preceding the termination date, and multiplying that average bonus amount by
two (2) to equal the total bonus amount due under this Section 6.3.ii. (For illustration only, if Employee received a $30,000 bonus and a $100,000 bonus in the two consecutive bonus payments preceding termination, the average bonus amount
would be $65,000 multiplied by 2, equaling $130,000 for the total bonus amount.); 

  

			
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	 	iii.	 COBRA coverage for Employee’s own medical premium under the Company’s existing health care plan, for
up to eighteen (18) months, as allowed under COBRA, as long as Employee completes all required documentation to obtain such coverage and only if he remains eligible for COBRA coverage. Any amounts under this Section 6.3.iii. will be paid
directly to the Company’s health care provider. If at any time during this eighteen (18) month period, Employee secures equivalent or greater benefits, the Company’s payment of Employee’s benefits under this Section 6.3.iii.
will automatically cease. Employee agrees that he will not waive any opportunity to obtain such benefits, and further agrees that he will promptly notify the Company in the event he does obtain such benefits. Nothing in this Section 6.3.iii. is
intended to or does create any other rights or obligations of any kind on the part of the Company with regard to payment of Employee’s COBRA coverage, except those specifically required by law. 

A termination of employment by Employee following a Change of Control will not constitute “Good Reason” under Section 6.3(a) unless the
requirements of Section 5.4 are met. if Employee chooses to terminate employment other than for Good Reason, at any time within twelve (12) months after a Change of Control, then Employee shall not be entitled to receive severance pay
under this Agreement. If Employee chooses to terminate his employment later than thirty (30) calendar days after twelve (12) months have elapsed following a Change of Control, or if the Company terminates Employee’s employment after
thirteen (13) months have elapsed following a Change of Control, then Employee shall not be entitled to receive severance pay under this section. 

Severance pay for termination as a result of a Change of Control of the Company may not be distributed before the date which is six months after the date of
separation from employment (or, if earlier, the death of Employee), but shall be paid, in a lump sum, no later than five (5) business days after expiration of such six month period. In the event that any compensation paid to Employee or for
Employee’s benefit by the Company in respect of the Change of Control would be subject to the excise tax imposed by Section 4999 of the Internal Revenue Code of 1986, as amended, or any comparable federal, state, or local excise tax (the
“Excise Tax”), the Company will make an additional payment to Employee so that the net amount received and retained by Employee from the Company after satisfaction of the Excise Tax shall be the same amount as if no Excise Tax were
imposed. The “gross up” payment shall be made no later than the date on which the Excise Tax is due and payable. 

6.4    Severance Pay for Separation from Employment Due to Death or Disability. In the event of Employee’s
separation from employment due to the death or Disability of Employee, then the Company shall pay Employee a sum equal to six (6) months’ Base Salary which may not he distributed earlier than the date of death of Employee or the date
Employee has a Disability as defined above. In the event of the death of Employee, severance shall be paid to Employee’s surviving spouse, estate, or personal representative as applicable. Severance pay for Separation from Employment Due to
Death or Disability shall be paid no later than two and one half (2 1/4) months after the date of death or Disability of Employee. 

7.    Proprietary information, Inventions Assignment, and
Non-Competition. 
 7.1    Employee agrees to comply with the provisions
contained in the Company’s Employee Proprietary Information, Inventions Assignment and Noncompete Agreement (“Proprietary Information Agreement”), which shall be executed separately in a written document entered into between
Employee and the Company and governed by the terms thereof 
 8.    Dispute Resolution, Legal Fees and
Employee’s Liability Insurance. 
 8.1    Dispute Resolution. All disputes arising under this
Agreement shall be settled by binding arbitration; provided, however, that this Section 8 shall not preclude either Party from seeking injunctive relief in a court of competent jurisdiction. Arbitration shall be held in Washington, under the
auspices of the American Arbitration Association (the “AAA”) pursuant to the Commercial Arbitration Rules of the AAA, and shall be by one arbitrator, independent of the Parties to this Agreement, selected from a list provided by the AAA in
accordance 

  

			
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with such Commercial Arbitration Rules. To the maximum extent permitted by law, the decision of the arbitrator shall be final and binding on the Parties to this Agreement and not be subject to
appeal. If a Party against whom the arbitrator renders an award fails to abide by such award, the other Party may bring an action to enforce the same in a court of competent jurisdiction, pursuant to the provisions of Section 9.7 below. The
Parties agree that all facts and information relating to any arbitration arising under this Agreement shall be kept confidential to the extent possible. The Parties waive, for themselves and for any person or entity acting on behalf of or otherwise
claiming through them, any right they may otherwise have to resolve claims by a court or by a jury. except as necessary to enforce an award rendered in arbitration, to enforce this Section 8, or to seek injunctive or other equitable relief 

8.2    Legal Fees and Costs. In any legal action or other proceeding to enforce this Agreement, the successful or
prevailing Party shall be entitled to recover such reasonable attorneys’ fees and other costs incurred in that action or proceeding, in addition to any other relief to which it may be entitled, as may be permitted by law. 

8.3    Indemnification; Directors and Officers Liability Insurance. Employee will be provided indemnification to
the maximum extent permitted by the Company’s Articles of Incorporation or Bylaws, with the indemnification to be on terms determined by the Board of Directors for the Company or any of its committees, but on term is no less favorable than
provided to any other Company executive officer or director and subject to the terms of any separate written indemnification agreement. During Employee’s employment, Employee will be named as an insured on the Company’s directors’ and
officers’ liability insurance coverage (“D&O Coverage”) that the Company provides generally to directors and officers of the Company. as may be amended from time to time for such directors and officers. The Company shall maintain
this D&O Coverage at all times during Employee’s employment at a level and with coverages consistent with the D&O Coverage currently maintained by the Company. Upon termination of the Employee’s employment for any reason, the
Company will cause such policies to cover Employee in respect of acts and omissions during the period of employment as if the Employee was still an officer, director and/or employee, as applicable. 

9.    Miscellaneous. 

9.1    Section 409A. The Company and Employee intend that any amounts or benefits payable or provided under this
Agreement comply with the provisions of Section 409A of the Internal Revenue Code and the treasury regulations and other guidance promulgated thereunder, to the extent applicable, and this Agreement shall be construed and interpreted in a
manner consistent with such intent and if necessary, the Company and Employee agree that any such provision shall be deemed amended in a manner that brings this Agreement into compliance with section 409A of the Code and treasury regulations and
other guidance promulgated thereunder. 
 9.2    Entire Agreement. Including Employee’s obligations under
the Proprietary Information Agreement, as set forth in Section 7 above, this Agreement is intended to be the final, complete, and exclusive statement of the terms of Employee’s employment by the Company and supersedes all other prior and
contemporaneous agreements and statements pertaining in any manner to the employment of Employee. To the extent that the practices, policies, or procedures of the Company, now or in the future, apply to Employee and are inconsistent with the terms
of this Agreement, the provisions of this Agreement shall control. 
 Any subsequent change in Employee’s duties or compensation will not affect the
validity or scope of this Agreement. 
 9.3    Amendments. Waivers. This Agreement may only be modified by an
instrument in writing, signed by Employee and by a duly authorized representative of the Company other than Employee. No failure to exercise and no delay in exercising any right, remedy, or power under this Agreement shall operate as a waiver
thereof, nor shall any single or partial exercise of any right, remedy, or power under this Agreement preclude any other or further exercise thereof, or the exercise of any other right, remedy, or power provided herein or by law or in equity. 

  

			
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 9.4    Assignment; Successors and Assigns. This Agreement and the
rights and duties hereunder are personal to Employee and shall not be assigned, delegated. transferred, pledged or sold by Employee without the prior written consent of the Company. Employee hereby acknowledges and agrees that the Company may
assign, delegate, transfer, pledge or sell this Agreement and the rights and duties hereunder (i) to an affiliate of the Company or (ii) to any third party upon a Change of Control. This Agreement shall inure to the benefit of and be
enforceable by the Parties hereto, and their respective heirs, personal representatives, successors and assigns. 

9.5    Notices. All notices and other communications required or permitted to be given hereunder shall be in
writing and shall be deemed to have been duly given (i) upon receipt, if delivered personally or via courier, (ii) on the third business day following mailing, if mailed first-class, postage prepaid, registered or certified mail as
follows: 
  

			
	 TO CRH Medical Corp:
	  	 Edward Wright
 CRH Medical Corp.

Suite 522 — 999 Canada Place
 Vancouver, B.C.

V6C 3E1

		
	 TO EMPLOYEE:
	  	***Redacted***

 Or to such other address as either Party may designate by written notice to the other. Rejection or other refusal to accept,
or inability to deliver because of a changed address of which no notice was given, shall be deemed to be a receipt of the notice, request, or other communication. 

9.6    Severability; Enforcement. If any provision of this Agreement, or its application to any person, place, or
circumstance, is held by an arbitrator or a court of competent jurisdiction to be invalid, unenforceable, or void, such provision shall be enforced to the greatest extent permitted by law. and the remainder of this Agreement and such provision as
applied to other persons, places, and circumstances shall remain in full force and effect. 
 9.7    Governing Law;
Consent to Personal Jurisdiction. This Agreement shall be governed by and construed in accordance with the substantive and procedural laws of the State of Washington. The Parties hereby agree that the forum for any action, suit, arbitration or
other proceeding arising out of or related to this Agreement or any document referenced in this Agreement shall be solely in Washington. Each Party hereby irrevocably consents and submits to the personal jurisdiction of and venue as set forth in
Section 8, and further consents and submits to the personal jurisdiction and venue in state and/or federal courts located in Washington for any injunctive relief or enforcement proceeding as described in Section 8. 

9.8    Employee Acknowledgment. Employee acknowledges (i) that he has consulted with or has had the
opportunity to consult with independent counsel of his own choice concerning this Agreement and has been advised to do so by the Company, and (ii) that he has read and understands this Agreement, is fully aware of its legal effect, and has
entered into it freely based on his own judgment. 
 9.9    Construction. The headings herein are for reference
only and shall not affect the interpretation of this Agreement. Whenever the context requires in this Agreement, the masculine pronoun shall include the feminine and the neutral, and the singular shall include the plural. 

9.10    Counterparts. This Agreement may be executed in counterparts and by facsimile, or electronic mail each of
which when so executed, will be deemed an original, and all of which together shall constitute one and the same instrument. 

9.11    Equal Opportunity to Draft. Each party to this Agreement represents and warrants that he has had an equal
opportunity to draft this Agreement and that this Agreement will not be construed against either Party for purposes of interpretation or enforcement. 

  

			
	Page 8 of 9	 	Employment Agreement - CFO

 IN WITNESS WHEREOF, this Agreement has been executed as of the date and year signed
by the Company below: 
  

					
	COMPANY:	 	    	 	EMPLOYEE:
			
	 /s/ Anthony Holler

Anthony Holler, Chairman
	 		 	 /s/ Richard Bear

Richard Bear

			
	Date Signed: 2/12/2018	 		 	Date Signed: 2/12/2018

  

			
	Page 9 of 9	 	Employment Agreement - CFOEX-10.5

 Exhibit 10.5 

INDEMNITY AGREEMENT 
 This Agreement has
been entered into as of the      th day of                     , 20    , 

BETWEEN: 
 CRH MEDICAL CORPORATION,
a company incorporated under the laws of the Province of British Columbia and having an address at 522 – 999 Canada Place, Vancouver, BC V6C 3E1 

(the “Indemnitor”) 
 AND:

                       
     , Businessperson 
 (the “Indemnitee”) 

WHEREAS the Indemnitee acts or has agreed to act as a director and/or officer of the Indemnitor and may, from time to time, act as a director and/or officer
of another entity at the Indemnitor’s request, and the Indemnitee has agreed, subject to the granting of the indemnities herein provided for, to act or continue to act in the aforementioned capacities. 

NOW THEREFORE in consideration of these premises, the mutual covenants and agreements herein contained and other good and valuable consideration, the receipt
and sufficiency of which is acknowledged by each of the parties hereto, the parties hereto covenant and agree as set forth below. 

ARTICLE 1—INDEMNITY 

1.1    Scope of Indemnity. Subject to subsections 1.3, 1.8, 1.9, and 2.7 below, the Indemnitor shall to the fullest extent
possible under applicable law indemnify and save harmless the Indemnitee against and from: 
  

	(a)	 any and all charges and claims of every nature and kind whatsoever which may be brought or made by any person,
firm, corporation or government, or by any governmental department, body, commission, board, bureau, agency or instrumentality against the Indemnitee in connection with the execution of the duties of the Indemnitee’s office as a director and/or
officer or by virtue of the Indemnitee’s holding any other directorship and/or officer position with any other entity held by the Indemnitee at the Indemnitor’s request; 

 

	(b)	 any and all costs, damages, expenses (including legal fees and disbursements on a full indemnity basis and
including an amount paid to settle any action or to satisfy any judgment), fines, liabilities (statutory or otherwise), losses and penalties which the Indemnitee may sustain, incur or be liable for in consequence of the Indemnitee’s acting as a
director and/or officer of the Indemnitor, whether sustained or incurred by reason of the Indemnitee’s negligence, default, breach of duty, breach of trust, intentional tortuous conduct, failure to exercise due diligence or otherwise in
relation to the Indemnitor or any of its affairs; and 

  

	(c)	 in particular, and without in any way limiting the generality of the foregoing, any and all costs, damages,
expenses (including legal fees and disbursements on a full indemnity basis), fines, liabilities, losses and penalties which the Indemnitee may sustain, incur or be liable for as a result of or in connection with the release of or presence in the
environment of substances, contaminants, litter, waste, effluent, refuse, pollutants or deleterious materials and that arise out of or are in any way connected with the management, operation, activities or existence of the Indemnitor or by virtue of
the Indemnitee holding any other directorship and/or officer position with any other entity held by the Indemnitee at the Indemnitor’s request. 

1.2    Payments Advanced as Costs Incurred. Any amounts paid by the Indemnitor under section 1.1 shall be advanced by the
Indemnitor promptly as and when costs, damages, expenses, fines, losses or penalties are incurred by the Indemnitee. 

 1.3    Indemnity Restricted. If, under applicable law, any payment by the
Indemnitor under section 1.1 first requires the approval of any court, the Indemnitor, at its own expense and in good faith, will promptly take all necessary proceedings to obtain such approval. 

1.4    Taxable Benefits. The Indemnitor shall gross up any indemnity payment made pursuant to this Indemnity Agreement by
the amount of any income tax payable by the Indemnitee in respect of that payment. 
 1.5    Enforcement Costs. The
Indemnitor shall indemnify the Indemnitee for the amount of all costs incurred by the Indemnitee in obtaining any court approval required to enable the Indemnitee to make a payment under or in enforcing this Indemnity Agreement, including without
limitation legal fees and disbursements on a full indemnity basis. 

1.6    Re-Election. The obligations of the Indemnitor under this Indemnity Agreement
continue after and are not affected in any way by the re-election or re-appointment from time to time of the Indemnitee as a director and/or officer of the Indemnitor or
of any entity in which the Indemnitee holds a directorship and/or officer position at the request of the Indemnitor. 

1.7    Indemnitee’s Compensation. The obligations of the Indemnitor under this Indemnity Agreement are not diminished
or in any way affected by: 
  

	(a)	 the Indemnitee holding from time to time any direct or indirect financial interest in the Indemnitor or in any
entity in which the Indemnitee holds such directorship and/or officer position at the request of the Indemnitor; 

  

	(b)	 payment to the Indemnitee by the Indemnitor of director’s fees or any salary, wages, or any other form of
compensation or remuneration or in any entity which the Indemnitee holds such directorship and/or officer position at the request of the Indemnitor; and 

  

	(c)	 except as otherwise herein provided, any directors’ or officers’ liability insurance placed by or for
the benefit of the Indemnitee by the Indemnitee, the Indemnitor or any entity in which the Indemnitee holds a directorship and/or officer position at the request of the Indemnitor. 

1.8    Limitation on Indemnity. Notwithstanding the provisions of subsection 1.1, the Indemnitor shall not be obligated to
indemnify or save harmless the Indemnitee against and from any charge, claim, cost, damage, expense, fine, liability, loss or penalty if a court of competent jurisdiction finds that: 

 

	(a)	 the Indemnitee failed to act honestly and in good faith with a view to the best interest of:

  

	 	(i)	 the Indemnitor, if the claim relates to the Indemnitee’s position as a director and/or officer of the
Indemnitor, or 

  

	 	(ii)	 the entity with which the Indemnitee holds or held a directorship and/or officer position at the
Indemnitor’s request; 

  

	(b)	 in the case of a criminal or administrative action or proceeding that is enforced by a monetary penalty, the
Indemnitee did not have reasonable grounds for believing that the Indemnitee’s conduct was lawful; or 

  

	(c)	 in the case of any act, error or omission of the Indemnitee, the Indemnitee acted fraudulently or maliciously.

 1.9    Insurance Limitation. Notwithstanding the provisions of subsection 1.7, the Indemnitor shall
have no obligation to indemnify or save harmless the Indemnitee in respect of any liability for which the Indemnitee is entitled to indemnity pursuant to any valid and collectible policy of insurance obtained and maintained by the Indemnitor, to the
extent of the amounts actually collected by the Indemnitee under such insurance policy. Where partial indemnity is provided by such insurance policy, the obligation of the Indemnitor under subsection 1.1 shall continue in effect but be limited to
that portion of the liability for which indemnity is not provided by such insurance policy. 

  
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 1.10    Change in Law. The intention of this Agreement is to provide the
Indemnitee indemnification to the fullest extent permitted by law and without limiting the generality of the foregoing and subject only to section 1.8 hereof: 
  

	(a)	 nothing in this agreement shall be interpreted, by implication or otherwise, in limitation of the scope of the
indemnification provided in section 1.1; and 

  

	(b)	 section 1.1 is intended to provide indemnification to the Indemnitee that is not specifically prohibited by a
court of competent jurisdiction and to the fullest extent permitted by the Business Corporations Act (British Columbia) (the “Act”) and, in the event that the Act is amended to permit a broader scope of indemnification
(including, without limitation, the deletion or limiting of one or more of the provisos to the applicability of indemnification), Article 1 shall be deemed to be amended concurrently with the amendment to the Act so as to provide such broader
indemnification. 

 1.11    Other Rights and Remedies. Indemnification and immediate payment of incurred
costs, charges and expenses as provided by this Agreement shall not be deemed to derogate from or exclude any other rights to which the Indemnitee may be entitled under any provision of the Act or otherwise at law, the articles or by-laws of the Indemnitor or other entity, this agreement, any vote of shareholders of the Indemnitor or other entity, or otherwise, both as to matters arising out of his capacity as a director or officer of the
Indemnitor or other entity, or as to matters arising out of another capacity with the Indemnitor or other entity while being a director or officer of the Indemnitor or other entity. 

ARTICLE 2 - DEFENCE 

2.1    Interpretation. For the purposes of section 2: 

“Action” means any action, inquiry, investigation, suit or other proceeding before a court or other tribunal in which a Claim
is brought, made or advanced by or against the Indemnitee; 
 “Claim” means any charge, claim, cost, damage, expense, fine,
liability, loss or penalty contemplated by subsection 1.1; 
 “Judgment” means an award of damages or other monetary
compensation made in an Action or any amounts the Indemnitee is ordered to pay by any court or other tribunal or any government, governmental department, body, commission, board, bureau, agency or instrumentality having proper jurisdiction as a
result of any Claim brought, made or advanced of or against the Indemnitee; and 
 “Settlement” means an agreement to
compromise a Claim or an Action. 
 2.2    Notice of Claim. Upon the Indemnitee or the Indemnitor becoming aware of any
pending or threatened Claim or Action, written notice shall be given by or on behalf of one to the other as soon as is reasonably practicable provided, however, that the failure of the Indemnitee to give such notice to the Indemnitor shall not
adversely affect the Indemnitee’s rights under this Agreement except to the extent that the Indemnitor shall have been materially prejudiced as a direct result of such failure. 

2.3    Right to Conduct Investigation. The Indemnitor shall conduct such investigation of each Claim as is reasonably
necessary in the circumstances and shall pay all costs of such investigation. 
 2.4    Defence of Claim. Subject to this
subsection, the Indemnitor shall defend, on behalf of the Indemnitee, any Action, even if the Claim upon which the Action is founded is frivolous, vexatious, groundless, false or fraudulent. 

2.5    Right to Retain Counsel. The Indemnitor agrees to promptly retain counsel who shall be reasonably satisfactory to the
Indemnitee to represent the Indemnitee in connection with the indemnification contemplated herein. 

  
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 In any such matter the Indemnitee shall have the right to retain other counsel to act on his
or her behalf, provided that the fees and disbursements of such other counsel shall be paid by the Indemnitee unless: 
  

	(a)	 the Indemnitee and the Indemnitor shall have mutually agreed to the retention of such other counsel, or

  

	(b)	 the parties to any such civil, criminal or administrative action, proceeding, investigation, inquiry or hearing
(including any added third, or interpleaded parties) include the Indemnitor, or entity with which the Indemnitee holds or held a directorship or officer position at the Indemnitor’s request, as applicable, and the Indemnitee and representation
of more than one party by the same counsel would be inappropriate due to actual or potential differing interests between them (including the availability of different defences) in which event the Indemnitor agrees to pay the fees and disbursements
of such counsel. 

 2.6    Settlement Negotiations. With respect to a Claim for which the Indemnitor is
obliged to indemnify the Indemnitee hereunder, the Indemnitor may conduct negotiations towards a Settlement and, with the written consent of the Indemnitee (which the Indemnitee agrees not to unreasonably withhold), the Indemnitor may make such
Settlement as it deems expedient; provided, however, that the Indemnitee shall not be required, as part of any proposed Settlement, to, and it will not be reasonable to request that the Indemnitee, admit liability or agree to indemnify the
Indemnitor in respect of, or make contribution to, any compensation or other payment for which provision is made by such Settlement. 

2.7    Settlement in Certain Circumstances. The Indemnitor, in consultation with the Indemnitee, shall have the right to
negotiate a Settlement in respect of any Judgment which is founded upon any of the acts specified in subsection 1.8. In the event that the Indemnitor, in consultation with the Indemnitee, negotiates such Settlement, the Indemnitee shall pay any
compensation or other payment for which provision is made under the Settlement as a result of such acts and shall not seek indemnity or contribution from the Indemnitor in respect of such compensation or payment. The Indemnitee shall pay to the
Indemnitor, within 30 days of the Indemnitor making demand therefor, all fees, costs and expenses (including legal fees and disbursements on a full indemnity basis) which result from the defence of the Claim or the Action in respect of which the
Settlement was made in connection with any of the acts specified in subsection 1.8, including the cost of any investigation undertaken by the Indemnitor in connection therewith, to the date the Settlement was made. 

2.8    Payment of Judgment. The Indemnitor shall pay any Judgment which may be given against the Indemnitee unless any of
the circumstances in subsection 1.8 applies to the Action in respect of which the Judgment is given or unless and to the extent the Indemnitee is otherwise entitled to indemnity under the policy of insurance as contemplated by subsection 1.9 in
either case, the Indemnitee shall pay to the Indemnitor, within 30 days of the Indemnitor making demand therefor, all fees, costs and expenses (including legal fees and disbursements on a full indemnity basis) which result from the defence and
appeal of the Action, including the costs of any investigation undertaken by the Indemnitor in connection with the Action, but only, in the case of indemnity under a policy of insurance, to the extent of any proceeds received under the policy. 

2.9    Consequences of Settlement. For the purposes of this Agreement including, without limitation, Article 1 hereof, the
termination of any civil, criminal or administrative action, proceeding, investigation, inquiry or hearing by way of a judgement, order, settlement, conviction or similar or other result shall not, of itself, create a presumption either that the
Indemnitee did not act honestly or in good faith with a view to the best interests of the Indemnitor, or any entity with which the Indemnitee holds or held a directorship and/or officer position at the Indemnitor’s request, or that, in the case
of a criminal or administrative action, proceeding, investigation, inquiry or hearing in which a monetary penalty could be imposed, the Indemnitee did not have reasonable grounds for believing that his or her conduct was lawful, unless any judgement
or order of a court of competent jurisdiction specifically finds otherwise. 

  
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 ARTICLE 3 - GENERAL 

3.1    Limitation of Actions and Release of Claims. No legal action shall be brought and no cause of action shall be
asserted by or on behalf of the Indemnitor or other entity against the Indemnitee, his estate, executors, administrators, legal representatives or lawful heirs after the expiration of two years from the date the Indemnitee ceased (for any reason) to
be a director or officer of the Indemnitor or other entity and the Indemnitor agrees that any claim or cause of action of the Indemnitor or other entity shall be extinguished and the Indemnitor, his estate, executors, administrators, legal
representatives and lawful heirs deemed released therefrom absolutely unless asserted by the commencement of legal action in a court of competent jurisdiction within such two-year period. 

3.2    Nothing herein contained shall in any way affect the Indemnitee’s right to resign from the Indemnitee’s position
as a director and/or officer of the Indemnitor or at any time to resign from the Indemnitee’s position with any other entity held at the Indemnitor’s request at any time. The obligations of the Indemnitor hereunder shall continue after and
are not affected in any way by the Indemnitee ceasing to be a director and/or officer of the Indemnitor or ceasing to be a director and/or officer of any entity in which the Indemnitee held a directorship and/or officer position at the request of
the Indemnitor, whether by resignation, removal, death, incapacity, disqualification under applicable law, or otherwise. 

3.3    The indemnity herein provided for shall survive the termination of the Indemnitee’s position as a director and/or
officer of the Indemnitor and the termination of any directorship and/or officer position held by the Indemnitee at the Indemnitor’s request and shall continue in full force and effect thereafter. 

3.4    Unless stated otherwise, all monies to be paid hereunder shall be paid within 30 days of becoming payable. 

3.5    If any provision of this Agreement is determined to be invalid or unenforceable in whole or in part, such invalidity or
unenforceability shall attach only to such provision or part thereof and the remaining part of such provision and all other provisions hereof shall continue in full force and effect. The parties hereto agree to negotiate in good faith to agree to a
substitute provision which shall be as close as possible to the intention of any invalid or unenforceable provision as may be valid or enforceable. The invalidity or unenforceability of any provision in any particular jurisdiction shall not affect
its validity or enforceability in any other jurisdiction where it is valid or enforceable. 
 3.6    In any proceeding concerning
a disagreement between the Indemnitor and the Indemnitee as to the availability of indemnification under this Agreement, the Indemnitor shall have the burden of proving that the Indemnitee is not entitled to indemnification hereunder. 

3.7    Each party hereto agrees to do all such things and take all such actions as may be necessary or desirable to give full force
and effect to the matters contemplated by this Agreement. 
 3.8    This Agreement and the indemnification hereunder shall enure
to the benefit of and be binding upon the parties hereto and their respective estates, heirs, executors, administrators, legal representatives, successors and permitted assigns. 

3.9    Time shall be of the essence of this Agreement. 

3.10    This Agreement shall be exclusively construed and governed by the laws in force in British Columbia and the federal laws of
Canada applicable therein, and the courts of British Columbia (and Supreme Court of Canada, if necessary) shall have exclusive jurisdiction to hear and determine all disputes arising hereunder. Each of the parties hereto irrevocably attorns to the
jurisdiction of said courts and consents to the commencement of proceedings in such courts. This section shall not be construed to affect the rights of a party to enforce a judgment or award outside said province, including the right to record and
enforce a judgment or award in any other jurisdiction. 
 [Remainder of page left intentionally blank] 

  
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 3.11    This Agreement contains all of the terms and conditions agreed upon by
the parties with respect to the subject matter of this Agreement, and any other previous agreements, understandings, representations or warranties, written or not, are superseded by this Agreement. 

IN WITNESS WHEREOF the parties hereto have signed and delivered this agreement as of the date first written above. 

 

			
	CRH MEDICAL CORPORATION
		
	Per:	 	  

		 	Authorized Signatory

  

					
	SIGNED AND DELIVERED in the	 	)	  	
	presence of:	 	)	  	
	    	 	)	  	
	      
	 	)	  	  

	Witness	 	)	  	
	      
	 	)	  	
	Address	 	)	  	
	      
	 	)	  	
	    	 	)	  	 
	      
	 	)	  	 
	Occupation	 	)	  	

  
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