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Abstract— The aims of this research are to find out and obtain information related to the influence of reward, work environment, also investigated the motivation factor as mediator on employees performance from the reward and work environment. Purposive sampling was taken with 85 Nurses From Raja Ahmad Tabib Hospital, Tanjungpinang, Kepulauan Riau Province, Indonesia as respondents from 108 respondents. The results of the research prove that reward has a positive effect on motivation, but negatively affects employees performance. While the work environment has a positive effect on employees motivation and performance. The reward and work environment also has a positive effect on employees performance through motivation. The results of the study show that reward has an influence on performance through work, and proven indirect effects are greater than the direct effects of imbalance in performance. This means that the higher the award the company gives to employees, the higher the work motivation of employees so that this will improve employee performance. Regarding the direct effect of reward on performance in this research, which contradicts with previous studies in general, it may be due to the lack of conformity of rewards received by employees, but on the other hand employees will continue to work according to orders because working alone is a form of self-respect. It is recommended that employers must compete with several types of imbalances because they recruit, maintain and support the performance of each individual in the organisation. With the provision of a balanced reward that is in accordance with the expectations of employees, it is expected to encourage the achievement of employee motivation and ultimately will improve employee performance. Keywords—rewards; work environment; motivation; employee hospital-s performance.