District Of Columbia 2023 2023-2024 Regular Session

District Of Columbia Council Bill B25-0300 Introduced / Bill

Filed 05/31/2023

                    UMC 
 
 
 
 
   
1310 SOUTHERN AVENUE, SE WASHINGTON, D.C.  20032 -4623    •   202-574-6000      •     WWW.UNITED-MEDICALCENTER.COM 
May 30, 2023  
 
The Honorable Phil Mendelson 
Chairman, Council of the District of Columbia 
John A. Wilson Building 
1350 Pennsylvania Avenue, N.W. 
Suite 504 
Washington, DC 20004 
 
Dear Chairman Mendelson: 
 
Enclosed for consideration and approval by the Council of the District of Columbia is 
Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Act of 2023, and 
Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Declaration 
Resolution of 2023, for the provision of nurse staffing services pertaining to emergency 
department, intensive care unit, and telemetry services (“Contract”). 
 
Council action is necessary to approve the December 13, 2022, partially exercised Option 
Year 2 Modification 10 (in the amount of $925,000.00 for a period of December 10, 2022 
through February 7, 2023) and Proposed Modification 11 (in the amount of $4,200,000.00 
for a period of February 8, 2023 through December 9, 2023) because when combined, the 
total retroactive contract value of Option Year 2 would be $5,125,000.00 for a 12-month 
period of December 10, 2022 to December 9, 2023.  Continued approval is vital to avoiding 
a major disruption in these services. The unavoidable retroactivity, which was discussed 
during recent oversight hearings, is due to constantly increasing nurse agency costs, 
extended time needed to negotiate financial terms, nationwide industry shortages, current 
hospital staffing needs, and the pending wind down. 
 
As always, I am available to discuss any questions you may have regarding this submittal. 
In order to facilitate a response to your questions, please have your staff contact me at (202) 
574-6611. I look forward to a favorable consideration on this contract. 
 
Sincerely, 
 
 
Jacqueline Payne-Borden 
Chief Executive Officer  
Not-for-Profit Hospital Corporation  
Enclosures  DocuSign Envelope ID: 616C0CD8-939A-4374-A2C2-306B3C51E8EE   DocuSign Envelope ID: 616C0CD8-939A-4374-A2C2-306B3C51 E8EE 
May 30, 2023 
The Honorable Phil Mendelson 
Chairman, Council 
of the District of Columbia 
John 
A. Wilson Building 
1350 Pennsylvania Avenue, N.W. 
Suite 504 
Washington, DC 20004 
Dear Chairman Mendelson: 
Enclosed for consideration and approval by the Council 
of the District of Columbia is 
Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Act 
of 2023, and 
Modification Nos. 
10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Declaration 
Resolution 
of 2023, for the provision of nurse staffing services pertaining to emergency 
department, intensive care unit, and telemetry services ("Contract"). 
Council action is necessary to approve the December 13, 2022, partially exercised Option 
Year 2 Modification 
10 (in the amount of $925,000.00 for a period of December 10, 2022 
through February 
7, 2023) and Proposed Modification 	11 (in the amount of $4,200,000.00 
for a period 
of February 8, 2023 through December 9, 2023) because when combined, the 
total retroactive contract value 
of Option Year 2 would be $5,125,000.00 for a 12-month 
period ofDecember 10, 2022 to December 
9, 2023. Continued approval is vital to avoiding 
a major disruption in these services. The unavoidable retroactivity, which was discussed 
during recent oversight hearings, is due 
to constantly increasing nurse agency costs, 
extended time needed to negotiate financial terms, nationwide industry shortages, current 
hospital staffing needs, and the pending wind down. 
As always, I am available to discuss any questions you may have regarding this submittal. 
In order to facilitate a response to your questions, please have your staff contact me at (202) 
574-6611. I look forward to a favorable consideration on this contract. 
Sincerely, 
j~l,U,, p~l,U,,--fJt>V'~ 
Jacqueline Payne-Borden 
Chief Executive Officer 
Not-for-Profit Hospital Corporation 
Enclosures 
1310 SOUTHERN AVENUE, SE WASHINGTON, D.C. 20032-4623 • 202-574-6000 • WWW.UNITED-MEDICALCENTER.COM   1 
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A 
BILL 
~~ 
/chairmanPh11Mendelson 
on behalf of the Not-for-Profit 
Hospital Corporation 
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 
To approve, on an emergency basis, Modification Nos. 10 and 11 to Contract NFPHC­
NSD-21-C-00027 with Maxim Healthcare Staffing for the provision of nurse 
staffing services pertaining to the emergency department, intensive care unit, and 
telemetry services, and to authorize payment for the services received and to be 
received under the Contract. 
BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, 
That this act may be cited as the "Modification Nos. 10 and 11 to Contract NFPHC-NSD-
21-C-00027 with Maxim Healthcare Staffing Approval and Payment Authorization 
Emergency Act of 2023". 
Sec. 2. Pursuant to section 451 of the District of Columbia Home Rule Act, 
approved December 24, 1973 (87 Stat. 803; D.C. Official 	Code§ 1-204.51), and 
notwithstanding the requirements of section 202 of the Procurement Practices Reform 
Act of 2010, effective April 8, 2011 (D.C. Law 18-371; D.C. Official Code§ 2-352.02), 
the Council approves Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 
with Maxim Healthcare Staffing for the provision of nurse staffing services pertaining to 
the emergency department, intensive care unit, and telemetry services, and authorizes   36 payment for the services received and to be received under this Contract and payment in 
37 the amount 
of $5,125,000.00. 
38 Sec. 
3. Fiscal impact statement. 
39 The Council adopts the fiscal impact statement 
of the Chief Financial Officer 	as 
40 the fiscal impact statement required by section 4a 	of the General Legislative Procedures 
41 Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official 	Code§ 1-
42 301.47a). 
43 Sec. 4. Effective date. 
44 This act shall take effect following approval by the Mayor ( or in the event 
of veto 
45 by the Mayor, action by the Council to override the veto), and shall remain in effect for 
46 no longer than 90 days, 
as provided for emergency acts 	of the Council of the District of 
47 Columbia in section 412(a) 	of the District of Columbia Home Rule Act, approved 
48 December 24, 1973 (87 Stat. 788; D.C. Official 
Code§ 1-204.12(a)). 
49 
2   GOVERNMENT OF THE DISTRICT OF COLUMBIA 
Office 
of Contracting and Procurement 
* * * 
-
Pursuant to section 202(c-1) 	of the Procurement Practices Reform Act 	of 2010, as amended, D.C. 
Official 
Code§ 2-352.02(c-1), the following contract summary 	is provided: 
(A) Contract Number: 
COUNCIL CONTRACT SUMMARY 
(Retro) 
Contract NFPHC-NSD-21-C-00027 
Proposed Contractor: Maxim Healthcare Staffing Services, Inc. 
Contract Amount: Modification 
10: $925,000.00 
$4,200,000.00 
$5,125,000.00 
Dec 10, 2022 -Feb 
7, 2023 
Feb 8, 2023 -Dec 
9, 2023 
Dec 10, 2022 -Dec 
9, 2023 
Proposed Mod 
11 : 
OY2 Total: 
Unit and Method 
of Compensation: Monthly with proper invoices 
Term 
of Contract: 
Type 
of Contract: 
Source Selection Method: 
December 
10, 2022 -December 9, 2023; retroactive 
Fixed Fee, with monthly reconciliation 
Sole Source under 27 DCMR 4618 
(B) For a contract containing option periods, the contract amount for the base period and for 
each option period. 
If the contract amount for one or more 	of the option periods differs from 
the amount for the base period, provide 
an explanation of the reason for the difference: 
-Base Period 
o Initial Base 
o Modification 1 
o Modification 2 
$300,000.00 
$600,000.00 
$2,6b0,000.00 
Dec 
10, 2020 -Dec 9, 2021 
Dec 10, 2020 -Dec 
9, 2021 
Dec 
10, 2020 -Dec 9, 2021 
■ Revised the total 12-month Base Year retroactive value to $3,500,000.00. 
[Council Approval: A24-115 on June 29, 2021] 
o Modifications 3 
& 4: No fiscal impact 
1   -Option Year 1 
o Modification 5 
o Modification 6 
$143,835.62 
$1,726,027.40 
Dec 
10, 2021 - Dec 24, 2021 
Dec 25, 2021 -June 22, 2022 
• Revised the partial Option Year 1 retroactive value to 
$1,869,863.02. [Council 
Approval: A24-416 on 
May 3, 2022] 
o Modification 7 
$1,500,000.00 June 23, 2022 -Sept 30, 2022 
■ Revised the partial Option Year 1 retroactive value to 	$3,369,863.02. [Council 
Approval: A24-4 78 on June 28, 2022] 
o Modification 8 $890,000.00 June 23, 2022 -Sept 30, 2022 
o Modification 9 $2,000,000.00 Oct 1, 2022 -
Dec 9, 2022 
■ Modifications 8 and 9 revised the total 12-month Option Year 1 retroactive value 
to $6,259,863.02. [Council Approval: A24-653 on 
Nov 1, 2022] 
-Option Year 2 
o Modification 
10 $925,000.00 Dec 10, 2022 -Feb, 7, 2023 
o Proposed 
Mod 11 $4,200,000.00 Feb 8, 2023 -	Dec 9, 2023 
■ If approved, Modification 11 would revise the total 12-month Option Year 2 
retroactive value to $5,125,000.00. [Council Approval: TBD] 
(C) The goods or services to be provided, the methods 	of delivering goods or services, and any 
significant program changes reflected 
in the proposed contract: 
This Contract is for the provision 	of nurse staffing services at United Medical Center ("	UMC") for 
the emergency department ("ED") and intensive care unit ("ICU"), and for telemetry services, for a 
period from 
December 10, 2022 to December 9, 2023. 
(D) The selection process, including the number 	of offerors, the evaluation criteria, and the 
evaluation results, including price, technical or quality, and past performance components: 
As reported for the Base 	Year and Option Year 1, this contract was sole sourced under 27 
DCMR4618. 
(E) A description of any bid protest related to the award 	of the contract, including whether the 
protest was resolved through litigation, withdrawal 
of the protest by the protestor, or 
voluntary corrective action by the District. Include the identity 
of the protestor, the grounds 
alleged in the protest, and any deficiencies identified by the District 
as a result of the protest: 
There were no protests associated with this procurement. 
(F) The background and qualifications 	of the proposed contractor, including its organization, 
financial stability, personnel, and performance on past or current government or private 
sector contracts with requirements similar 
to those of the proposed contract: 
Maxim Healthcare Staffing Services, Inc. is a privately held medical staffing company 
headquartered in Columbia, Maryland, that was founded in 1988. 
Maxim is accredited by the 
2   Accreditation Commission for Health Care (ACHC) for our private duty nursing and certified home 
healthcare programs and is accredited by The Joint Commission for healthcare staffing services. 
Maxim is committed to adhering to standards set forth 	by The Joint Commission. In keeping with 
this dedication to quality service, Maxim has adapted The Joint Commission's standards into daily 
business practices and internal training programs. 
(G) The period of performance associated with the proposed change, including date 	as of which 
the proposed change is to be made effective: 
Modification 10 for $925,000.00 and a period 	of Dec 10, 2022 -Feb, 7, 2023 was executed on 
December 13, 2022. 
If approved, Proposed Modification 	11 for $4,200,000.00 would exercise the remainder 	of Option 
Year 2, from Feb 
8, 2023 -Dec 9, 2023. 
(H) The value of any work or services performed pursuant to a proposed change for which the 
Council has not provided approval, disaggregated by each proposed change 
if more than one 
proposed change has been aggregated for Council review: 
The value of work performed pursuant to Modification 10 is $925,000.00 
The value 
of work performed pursuant to Proposed Modification 	11 is $1,810,487.85 
(I) The aggregate dollar value 	of the proposed changes as compared with the amount 	of the 
contract 
as awarded: 
Modification 10, partially exercising Option Year 2, was awarded in the amount $925,000.00 
Proposed Modification 11, exercising the remainder 
of the option year, would increase the value 	by 
$4,200,000.00 to $5,125,000.00 
(J) The date on which the contracting officer was notified 	of the proposed change: 
March 15, 2023 
(K) The reason why the proposed change was sent to Council for approval after it is intended to 
take effect: 
As conveyed during recent oversight hearings, UMC faces ongoing nursing specific staffing 
challenges due to constantly increasing agency costs, extended time needed to negotiate financial 
terms, nationwide industry shortages, current staffing needs, and the pending wind down. These 
factors directly contribute to the retroactivity 
of nurse staffing modifications. Despite these 
difficulties, 
UMC continues to use its best efforts to build and maintain a panel 	of nurse staffing 
agencies that can provide qualified 
staff to UMC at the most favorable terms. 
3   (L) The reason for the proposed change: 
UMC has a continuing need for the provision 	of nurse staffing services. 
(M) The legal, regulatory, or contractual authority for the proposed change: 
NFPHC Contracting Authority; NFPHC Establishment Act; Home Rule Act. 
(N) A summary of the subcontracting plan required under section 2346 	of the Small, Local, and 
Disadvantaged Business Enterprise Development and Assistance Act 
of 2005, as amended, 
D.C. Official Code 
§ 2-218.01 et seq. ("Act"), including a certification that the subcontracting 
plan meets the minimum requirements 
of the Act and the dollar volume 	of the portion of the 
contract to be subcontracted, expressed both in total dollars and as a percentage 
of the total 
contract amount: 
As conveyed during recent oversight hearings, UMC remains challenged to staff specialty and non­
specialty temporary nurses due to constantly increasing agency costs, extended time needed to 
negotiate financial terms, nationwide industry shortages, current staffing needs, and the pending 
wind down. Unfortunately, previous attempts to contract with DSLBD's CBEs did not yield 
qualified staff and the Hospital's clinical needs could not wait. Despite these difficulties, UMC 
remains undeterred in its efforts to create and maintain opportunities for small, local, and 
disadvantaged businesses at UMC across all areas 
of the hospital and looks forward 	to continuing to 
work with DSLBD and the community to improve. 
(0) Performance standards and the expected outcome 	of the proposed contract: 
The Contractor's performance will 	be monitored by the Not-for-Profit Hospital Corporation 
Interim 
CEO and Chief Nursing Officer. The performance standards are as outlined in the 
proposed Contract and as required 
by applicable local, federal, industry, and licensing entities. 
(P) The amount and date 	of any expenditure of funds by the District pursuant to the contract 
prior to its submission 
to the Council for approval: 
Expenditure pursuant to Modification 	10: $925,000.00 
Expenditure pursuant to Proposed Modification 
11: $436,784.70 
(Q) A certification that the proposed contract 	is within the appropriated budget authority for the 
agency for the fiscal year and 
is consistent with the financial plan and budget adopted in 
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02: 
See enclosed fiscal certification from the OCFO. 
(R) A certification that the contract is legally sufficient, including whether the proposed 
contractor has any pending legal claims against the District: 
4   See enclosed legal certification from UMC Counsel. 
(S) A certification that Citywide Clean Hands database indicates that the proposed contractor is 
current with its District taxes. 
If the Citywide Clean Hands Database indicates that the 
proposed contractor is not current with its District taxes, either: (1) a certification that the 
contractor has worked out and is current with a payment schedule approved by the District; 
or (2) a certification that the contractor will be current with its District taxes after the District 
recovers any outstanding debt as provided under D.C. Official 
Code§ 2-353.0l(b): 
See enclosed Clean Hands Certification. 
(T) A certification from the proposed contractor that it 	is current with its federal taxes, or has 
worked out and 
is current with a payment schedule approved by the federal government: 
The proposed contractor has certified its compliance. 
(U) The status of the proposed contractor as a certified local, small, or disadvantaged business 
enterprise as defined in the Small, Local, and Disadvantaged Business Enterprise 
Development and Assistance Act 
of 2005, as amended, D.C. Official Code 	§ 2-218.01 et seq.: 
The Contractor is not certified as a local, small, 	or disadvantaged business enterprise. 
(V) Other aspects of the proposed contract that the 	Chief Procurement Officer considers 
significant: 
All relevant aspects of the proposed Contract are enclosed. 
(W) A statement indicating whether the proposed contractor is currently debarred from providing 
services or goods to the District or federal government, the dates 
of the debarment, and the 
reasons for debarment: 
As of March 21, 2023, the Contractor does 	not appear on the District or Federal Excluded 
Parties List. 
(X) Any determination and findings issues relating to the contract's formation, including any 
determination and findings made under D.C. Official Code 
§ 2-352.05 (privatization 
contracts): 
None. 
(Y) Where the contract, and any amendments or modifications, 	if executed, will be made 
available online: 
The Hospital's website is currently being upgraded and the Hospital intends to 	post the 
executed Contract as soon as possible. Until then, the contract remains available onsite. 
5   (Z) Where the original solicitation, and any amendments or modifications, will be made available 
online: 
The Hospital's website is currently being upgraded and the Hospital intends to post the 
executed Contract as soon as possible. 
6   * * * Government of the District of Columbia 
Office 
of the Chief Financial Officer 
Office 
of Tax and Revenue 
Date of Notice: May 10, 2023 
MAXIM HEALTHCARE STAFFING SERVICES INC 
7227 LEE DEFOREST DR 
COLUMBIA MD 21046-3236 
1101 4
th 
Street, SW 
Washington, DC 20024 
Notice Number: L0009573432 
FEIN: **-***6157 
Case ID: 1510748 
CERTIFICATE OF CLEAN HANDS 
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding 
liability with the District 
of Columbia Office of Tax and Revenue or the Department 	of Employment 
Services. As 
of the date above, the individual/entity has complied with DC 	Code§ 47-2862, therefore 
this Certificate Clean Hands 
is issued. 
TIT
I£E 47. TA:XATION",LICENSING, PERMITS, ASSESSMENTS, AND FEES 
eHAPTER 28 GENERAI£ UCENSE 
SUBCHAPTE R.II. ChEAN HANDS BEFORE RECEIVING A 	UCENSE OR PERMIT 
D.C. 
CODE§ 47-2862 (2006) 
§ 47-2862 
PROHIBITION AGAINST ISSUANCE OF 	UCENSE OR PERMIT 
Authorized 
By Melinda Jenkins 
Branch Chief, Collection and Enforcement Administration 
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the 
"Validate a Certificate 
of Clean Hands" hyperlink under the Clean Hands section. 
1101 4th Street SW, Suite W270, Washington, 	DC 20024/Phone: (202) 724-5045/MyTax.DC.gov   MEMORANDUM 
Government of the District of Columbia 
Office 
of the Chief Financial Officer 
* *' * 
To: Jacqueline Payne-Borden, Chief Executive Officer 
From: Lilian Chukwuma, CFO-Not-for-Profit Hospital Corporatio 
Date: May 30, 2023 
Re: Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Act 
of 2023 
The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with Maxim Healthcare 
Staffing Services, Inc. for the provision 
of nurse staffing services pertaining 	to the emergency 
department, intensive care unit, and telemetry services. Modification 
10 of the Contract 
partially exercised Option Year 2 for a total amount 
of $925,000.00 for the period from 
December 
10, 2022 and terminating on February 	7, 2023. Proposed Modification 	11 of the 
Contract for $4,200,000.00 would exercise the remainder 
of Option Year 2 through December 
9, 2023, revising the total 12-month Option Year 2 dollar amount to $5,125,000.00. 
The Office 
of the Chief Financial Officer hereby certifies that the funds are included in the 
NFPHC FY 2023 budget.   DocuSign Envelope ID: E23A511 B-8C36-45E1-AB9C-DD8EB87BDDB0 
MEMORANDUM 
To: 
From: Jacqueline Payne-Borden 
Chief Executive Officer 
Eric Goulet 
t,b 
General Counsel 
Reference: Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with 
Maxim Healthcare Staffing Approval and Payment Authorization 
Emergency Act 
of 2023 
Date: May 30, 2023 
Subject: Legal Sufficiency 
I have reviewed the above-referenced Modification Nos. 
10 and 11 to Contract NFPHC­
NSD-21-C-00027 with Maxim Healthcare Staffing Inc. for the provision 
of nurse staffing 
services pertaining to the emergency department, intensive care unit, and telemetry 
services. 
I hereby certify that it appears to be legally sufficient. Please be advised that 
my finding 
is premised on the Contract being submitted to and approved by the Council 	of the 
District 
of Columbia. 
1310 SOUTHERN A VENUE, SE WASHINGTON, D.C. 20032-4623 • 202-574-6000 • WWW.UNITED-MEDICALCENTER.COM   DocuSign Envelope ID: 4607 41DA-263E-43DC-B331-0667EB0DB 171 
NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as 
United Medical Center, 
an instrumentality of the District of Columbia government, hereinafter 
known as the "Hospital". 
2. Address (Send invoices here) 
Not-For-Profit Hospital Corporation 
United Medical Center -Accounts Payable 
1310 Southern Avenue, S.E. 
Washington, D.C. 20032 
3a. Effective Date: 
December 10, 2022 
3b. Date of Council 
Approval. 
5. Department(s) Using Goods or Services: Nursing Department 
6. Contractor: name; address; phone number and email address 
Maxim Healthcare Staffing Services, Inc. 
962 Wayne Avenue, Suite 600 
Silver Spring, MD 20910 
8. Exercise of X Change Order Supplemental 
0 tion 	A reement 
9. Modification/Change Order Amount: $925,000.00 
CONTRACT MODIFICATION/ CHANGE ORDER 
NFPHC-NSD-21-C-00027 
4. Requisition/Purchase Order/Task Order/Modification Number: 
Modification #10 
7. Subject: 
Page 
1 of 1 
Modification to partially exercise Option Year Two (OY2) for sixty (60) 
days, 
commencing on December 10, 2022 and terminating on February 
7, 2023. 
Letter Contract/ 
Contract Extension 
Other: 
10. 
Total Contract Amount: $925,000.00 
1 I. M d'fi f t 0 I 1ca IOll f 11 o par ia 1y exercise 0 f Y 'P IOll ear Two (OY2) for sixty (60) days for the provision 	of Nurses. 
Unit: Rates 
ED $138.00 
ICU $135.00 
MS/T $115.00 
RT $110.00 
* All other terms and conditions 	of the contract shall remain the same. 
* Modification reflects new rates 
12. Name of Contractor: Rob Coombs 	Date: 
Signature: __ /3. _ __,~=----"'-~--4-______ _ 
14. GENERAL COUNSEL -LEGAL SUFFICIENCY 
13. Signature of Contracting Officer: Kendrick Dandridge, 
Contracting Officer 
Signature: ____ f_~-~-il;.-~---'---
Date: 
2/13/2022 
This contract appears legally sufficient. Please be advised that my finding is premised on the Contract receiving any and 	all requisite approvals. 	In additions, the Hospital 
continues 
to work with other District agencies 	to detennine the most effecti	ve manner for all involved to achieve their respective legislative mandates while the Hospital 
strives 
to meet: (i) its Establishment Act purposes 	(D.C Official Code §44	-95 I.02(b )): (ii) the Hospital Board of Directors approved Strategic Plan (all thirteen 
Councilmembers introduced the Sense 
of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of2014 (PR0-731)), which 
expressed the desire that the Hospital 
move swiftly to implement the strategic plan); a	nd (iii) its clarified District government charged legislative mandate 	in the Fiscal Year 
20
15 Budget Support Emergency Act 	of 2014 (B20-849), which required the Hospit	al move forward expeditiously with improving UMC operations and soliciting proposals 
for private sector takeover 
of the ownership and management 	of the United Medical Center.* Maryland barred attorney not licensed 	to practice law in D.C., work is 
supervised by a D.C. Bar Member. 
Legal Sufficiency: ______ .-<""_--"~~--- ::-~~:)_:_-_________ _ 
Michael Austin, NFPHC Associate Counsel * 
15. 
CERTIFICATION OF FUNDS 
S. C: h~-!.- Date·. 
1gnature: 
------~~------____ _ 
Lilian 
Chuk~NFPHC CFO 
OCFO REVlEW AP PROV AL: ___ : NFPHC Budget Officer 
12/6/2022 
Date: ______ _ 
I hereby certify funds are sufficiently included 	in the District's FY 2023 budget and 
financial plan 
to support this Contract. 
CEO REVIEW APPROVAL: L. NFPHC Chief Executive Officer   DocuSign Envelope ID: O6CE3BO4-EFE0-49CA-9BEB-5201 F6C60613 
NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known 
as 
United Medical Center, 
an instrumentality 
of the District of Columbia government, hereinafter 
known 
as the "Hospital". 
2. Address (Send invoices here) 
Not-For-Profit Hospital Corporation 
United Medical Center -Accounts Payable 
1310 Southern Avenue, S.E. 
Washington, D.C. 20032 
3a. Effective Date: 
February 8, 2023 
3b. Date of Council 
Approval: 
5. De artment(s) Usin Goods or Services: Nursin De artment 
6. Contractor: name; address; phone number and email address 
Maxim Healthcare Staffing Services, Inc. 
962 Wayne Avenue, Suite 600 
Silver Spring, MD 20910 
8. Exercise of 
Option 
Change Order Supplemental 
X Agreement 
9. Modification/Change Order Amount: $2,500,000.00 
CONTRACT MODIFICATION/ CHANGE 
ORDER 
NFPHC-MS-22-C-00043 
Page of Pages 
1 
of 1 
4. Requisition/Purchase Order/Task Order/Modification Number: 
Modification 
# 11 
7. Subject: 
Modification/change order to increase NTE and to exercise the remainder of 
Option Year two (OY2), commencing on February 8, 2023 and concluding on 
December 09, 2023. 
Letter Contract/ 
Contract Extension 
Other: 
10. Total Contract Amount: $3,425,000.00 
11. Modification to increase NTE amount and 	to exercise the remainder of contract Option Year Two (OY2) for the provision 
of Nurses. 
Unit: Rates 
ED 
$125.00 
ICU 	$122.00 
MS/T $110.00 
RT 	$98.00 
a. All terms of the Contract shall remain 	in full force and effect. 
b. Modification reflects new rates 
12. Name of Contractor: Maxim Healthcare Staffing Services, Inc. 
Signature: 
14. GENERAL COUNSEL-LEGAL SUFFICIENCY 
Date: 
13. Signature of Contracting Officer: Kendrick Dandridge, 
Contracting Officer 
3/21/2023 Signature: 
Date: 
This contract appears legally sufficient. Please be advised that my finding is premised on the Contract receiving any and all requisite approvals. In additions, the Hospital 
continues to work with other District agencies to determine the most effective manner for all involved to achieve their respective legislative mandates while the Hospital 
strives to meet: (i) its Establishment Act purposes (D.C Official Code §44-95 I.02(b)): (ii) the Hospital Board of Directors approved Strategic Plan (all thirteen 
Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transfom1ation and Sustainability Resolution of 2014 (PRO-731 )), which 
expressed the desire that the Hospital move swiftly to implement the strategic plan); and (iii) its clarified District government charged legislative mandate in the Fiscal Year 
2015 Budget Support Emergency Act of 2014 (B20-849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals 
for private sector takeover of the ownership and management of the United Medical Center. 
~~"1W-~~~}/~ 
Legal Sufficiency: ________________ 
_ 
3/21/2023 
Date: _______ _ 
Yanira van den Broeck Nieves, NFPHC Associate General Counsel 
15. CERTIFICATION OF FUNDS 
c,,-z:: -/-
Signature:=> 
Lilian Chukwuma, NFPHC CFO 
Date:3/21/202 
I hereby certify funds are sufficiently included 
in the District's FY 2023 budget and 
financial plan 
to support this Contract. 
CEO REVIEW AP PROV AL: : NFPHC Chief Operating Officer    	2 
payment for the services received and to be received under this Contract and payment in 36 
the amount of $5,125,000.00. 37 
 Sec. 3.   Fiscal impact statement. 38 
The Council adopts the fiscal impact statement of the Chief Financial Officer as 39 
the fiscal impact statement required by section 4a of the General Legislative Procedures 40 
Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-41 
301.47a). 42 
Sec. 4.  Effective date. 43 
This act shall take effect following approval by the Mayor (or in the event of veto 44 
by the Mayor, action by the Council to override the veto), and shall remain in effect for 45 
no longer than 90 days, as provided for emergency acts of the Council of the District of 46 
Columbia in section 412(a) of the District of Columbia Home Rule Act, approved 47 
December 24, 1973 (87 Stat. 788; D.C. Official Code § 1-	204.12(a)). 48 
 49   _______________________ 1 
Chairman Phil Mendelson 2 
on behalf of the Not-for-Profit  3 
Hospital Corporation 4 
 5 
 6 
 7 
 8 
A BILL 9 
 10 
__________ 11 
 12 
 13 
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 14 
 15 
__________________ 16 
 17 
 18 
To approve, on an emergency basis, 	Modification Nos. 10 and 11 to Contract NFPHC-19 
NSD-21-C-00027 with Maxim Healthcare Staffing for the provision of nurse 20 
staffing services pertaining to the emergency department, intensive care unit, and 21 
telemetry services, and to authorize payment for the services received and to be 22 
received under the Contract.  23 
 24 
 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, 25 
That this act may be cited as the “	Modification Nos. 10 and 11 to Contract NFPHC-NSD-26 
21-C-00027 with Maxim Healthcare Staffing Approval and Payment Authorization 27 
Emergency Act of 2023”. 28 
 Sec. 2.    Pursuant to section 451 of the District of Columbia Home Rule Act, 29 
approved December 24, 1973 (87 Stat. 803; D.C. Official Code § 1-	204.51), and 30 
notwithstanding the requirements of section 202 	of the Procurement Practices Refo	rm 31 
Act of 2010, effective April 8, 2011 	(D.C. Law 18 -371; D.C. Official Code § 2-	352.02), 32 
the Council approves Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 33 
with Maxim Healthcare Staffing for the provision of nurse staffing services pertaining to 34 
the emergency department, intensive care unit, and telemetry services, and authorize	s 35    	2 
payment for the services received and to be received under this Contract and payment in 36 
the amount of $5,125,000.00. 37 
 Sec. 3.   Fiscal impact statement. 38 
The Council adopts the fiscal impact statement of the Chief Financial Officer as 39 
the fiscal impact statement required by section 4a of the General Legislative Procedures 40 
Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-41 
301.47a). 42 
Sec. 4.  Effective date. 43 
This act shall take effect following approval by the Mayor (or in the event of veto 44 
by the Mayor, action by the Council to override the veto), and shall remain in effect for 45 
no longer than 90 days, as provided for emergency acts of the Council of the District of 46 
Columbia in section 412(a) of the District of Columbia Home Rule Act, approved 47 
December 24, 1973 (87 Stat. 788; D.C. Official Code § 1-	204.12(a)). 48 
 49   1 
 
GOVERNMENT OF THE DISTRICT OF COLUMBIA 
Office of Contracting and Procurement 
 
 
 
 
Pursuant to section 202(c-1) of the Procurement Practices Reform Act of 2010, as amended, D.C. 
Official Code § 2-352.02(c-1), the following contract summary is provided : 
 
COUNCIL CONTRACT SUMMARY 
                                                                          (Retro) 
 
(A) Contract Number:   Contract NFPHC- NSD-21-C-00027 
         
Proposed Contractor:
  Maxim Healthcare Staffing Services, Inc. 
                         
Contract Amount :  Modification 10: $925,000.00   Dec 10, 2022 - Feb 7, 2023 
 	Proposed Mod 11:  $4,200,000.00  Feb 8, 2023 - Dec 9, 2023 
 	OY2 Total:  $5,125,000.00  Dec 10, 2022 - Dec 9 , 2023 
                                                             
Unit and Method of Compensation:  Monthly with proper invoices 
 
Term of Contract:   December 10 , 2022 – December 9, 2023; retroactive 
  
Type of Contract:   Fixed Fee, with monthly reconciliation 
 
Source Selection Method:   Sole Source under 27 DCMR 4618 
   
 
(B) For a contract containing option periods, the contract amount for the base period and for 
each option period.  If the contract amount for one or more of the option periods differs from 
the amount for the base period, provide an explanation of the reason for th	e difference: 
 
- Base Period 
o Initial Base $300,000.00 Dec 10, 2020 - Dec 9, 2021 
o Modification 1  $600,000.00   Dec 10, 2020 - Dec 9, 2021 
o Modification 2  $2,600,000.00  Dec 10, 2020 - Dec 9, 2021 
 Revised the total 12-month Base Year retroactive value to $3,500,000.00. 
[Council Approval: A24	-115 on June 29, 2021] 
o Modifications 3 & 4:  No fiscal impact 
     2 
 
        - Option Year 1 
o Modification 5 $143,835.62 Dec 10, 2021 -  Dec 24, 2021 
o Modification 6 $1,726,027.40  Dec 25, 2021 - June 22, 2022 
 Revised the partial Option Year 1 retroactive value to $1,869,863.02.  [Council 
Approval: A24 -416 on May 3, 2022] 
o Modification 7 $1,500,000.00  June 23, 2022 - Sept 30, 2022 
 Revised the partial Option Year 1 retroactive value to $3,369,863.02.   [Council 
Approval: A24 -478 on June 28, 2022] 
o Modification 8 $890,000.00  June 23, 2022 - Sept 30, 2022 
o Modification 9  $2,000,000.00 	Oct 1, 2022 - Dec 9, 2022 
 Modifications 8 and 9 revised the total 12-month Option Year 1 retroactive value 
to $6,259,863.02.  [Council Approval: A24	-653 on Nov 1, 2022] 
 
- Option Year 2 
o Modification 10 $925,000.00   Dec 10, 2022 - Feb, 7, 2023 
o Proposed Mod 11  $4,200,000.00  Feb 8, 2023 - Dec 9, 2023 
 If approved, Modification 11 would revise the total 12-month Option Year 2 
retroactive value to $5,125,000.00.  [Council Approval: TBD] 
 
(C) The goods or services to be provided, the methods of delivering goods or services, and any 	significant program changes reflected in the proposed contract:  
 	This Contract is for the provision of nurse staffing services at United Medical Center (“UMC”) for 	the emergency department (“ED”) and intensive care unit (“ICU”), and for telemetry services, for a 
period from December 10 , 2022 to December 9, 2023.  
 
(D) The selection process, including the number of offerors, the evaluation criteria, and the 	evaluation results, including price, technical or quality, and past performance components:  
 
As reported for the Base Year and Option Year 1, this contract was sole sourced under 27 
DCMR 4618. 
 
(E) A description of any bid protest related to the award of the contract, including whether the 
protest was resolved through litigation, withdrawal of the protest by the protestor, or 
voluntary corrective action by the District. Include the identity of the protestor, the grounds 
alleged in the protest, and any deficiencies identified by the District as a result of the protest:   
 
There were no protests associated with this procurement.  
 
(F) The background and qualifications of the proposed contractor, including its organization, 
financial stability, personnel, and performance on past or current government or private 
sector contracts with requirements similar to those of the proposed contract: 
 
Maxim Healthcare Staffing Services, Inc. is a privately held medical staffing company 
headquartered in Columbia, Maryland, that was founded in 1988. Maxim is accredited by the   3 
 
Accreditation Commission for Health Care (ACHC) for our private duty nursing and certified home 
healthcare programs and is accredited by The Joint Comm ission for healthcare staffing services. 
Maxim is committed to adhering to standards set forth by The Joint Commission. In keeping with 
this dedication to quality service, Maxim has adapted The Joint Commission’s standards into daily 
business practices and internal training programs.  
 
(G) The period of performance associated with the proposed change, including date as of which 
the proposed change is to be made effective:  
 
Modification 10 for $925,000.00 and a period of Dec 10, 2022 - Feb, 7, 2023 was executed on 
December 13, 2022.   
 
If approved, Proposed Modification 11 for $4,200	,000.00 would exercise the remainder of Option 
Year 2, from Feb 8, 2023 - Dec 9, 2023. 
 
(H) The value of any work or services performed pursuant to a proposed change for which the 
Council has not provided approval, disaggregated by each proposed change if more than one 
proposed change has been aggregated for Council review:  
 
The value of work performed pursuant to Modification 10 	is $925,000.00 
 
The value of work performed pursuant to Proposed Modification 11 is  $1,810,487.85 
 
(I) The aggregate dollar value of the proposed changes as compared with the amount of the 
contract as awarded:  
 
Modification 10, partially exercising Option Year 2, was awarded in the amount $925,000.00 
 
Proposed Modification 11, exercising the remainder of the option year, would increase the value by 
$4,200,000.00 to $5,125,000.00 
 
(J) The date on which the contracting officer was notified of the proposed change:  
 
March 15, 2023 
 
(K) The reason why the proposed change was sent to Council for approval after it is intended to 
take effect: 
 
As conveyed during recent oversight hearings, UMC faces ongoing nursing specific staffing 
challenges due to constantly increasing agency costs, extended time needed to negotiate financial 
terms, nationwide industry shortages, current staffing needs, 	and the pending wind down. These 
factors directly contribute to the retroactivity of nurse staffing modifications.  Despite these 
difficulties, UMC continues to use its best efforts to build and maintain a panel of nurse staffing 
agencies that can provide qualified staff to UMC at the most favorable terms. 
 
   4 
 
(L) The reason for the proposed change: 
UMC has a continuing need for the provision of nurse staffing services	.  
(M) The legal, regulatory, or contractual authority for the proposed change: 
 
NFPHC Contracting Authority; NFPHC Establishment Act; Home Rule Act. 
 
(N) A summary of the subcontracting plan required under section 2346 of the Small, Local, and 
Disadvantaged Business Enterprise Development and Assistance Act of 2005, as amended, 
D.C. Official Code § 2-218.01 et seq	. (“Act”), including a certification that the subcontracting 
plan meets the minimum requirements of the Act and the dollar volume of the portion of the 
contract to be subcontracted, expressed both in total dollars and as a percentage of the total 
contract amount: 
 
As conveyed during recent oversight hearings, UMC remains challenged to staff specialty and non-
specialty temporary nurses due to constantly increasing agency costs, extended time needed to 
negotiate financial terms, nationwide industry shortages, current staffing needs, and the pending 
wind down.  Unfortunately, previous attempts to contract with DSLBD’s CBEs did not yield 
qualified staff and the Hospital’s clinical needs could not wait.  Despite these difficulties, UMC 
remains undeterred in its efforts to create and maintain opportunities for small, local, and 
disadvantaged businesses at UMC across all areas of the hospital and looks forward to continuing to 
work with DSLBD and the community to improve. 
 
(O) Performance standards and the expected outcome of the proposed contract: 
 
The Contractor's performance will be monitored by the Not-for-Profit Hospital Corporation 
Interim CEO and Chief Nursing Officer. The performance standards are as outlined in the 
proposed Contract and as required by applicable local, federal, industry, and licensing entities.
 
 
(P) The amount and date of any expenditure of funds by the District pursuant to the contract 
prior to its submission to the Council for approval: 
  	Expenditure pursuant to Modification 10: $925,000.00 
 	Expenditure pursuant to Proposed Modification 11: $436,784.70  
(Q) A certification that the proposed contract is within the appropriated budget authority for the 	agency for the fiscal year and is consistent with the financial plan and budget adopted in 
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02: 
 
See enclosed fiscal certification from the OCFO. 
 
(R) A certification that the contract is legally sufficient, including whether the proposed 
contractor has any pending legal claims against the District: 
   5 
 
See enclosed legal certification from UMC Counsel. 
 
(S) A certification that Citywide Clean Hands database indicates that the proposed contractor is 
current with its District taxes.  If the Citywide Clean Hands Database indicates that the 
proposed contractor is not current with its District taxes, either: (1) a certification that the 
contractor has worked out and is current with a payment schedule approved by the District; 
or (2) a certification that the contractor will be current with its District taxes after the District 
recovers any outstanding debt as provided under D.C. Official Code § 2-	353.01(b): 
 
See enclosed Clean Hands Certification.
 
 
(T) A certification from the proposed contractor that it is current with its federal taxes, or has 
worked out and is current with a payment schedule approved by the federal government: 
 
The proposed contractor has certified its compliance. 
 
(U) The status of the proposed contractor as a certified local, small, or disadvantaged business 
enterprise as defined in the Small, Local, and Disadvantaged Business Enterprise 
Development and Assistance Act of 2005, as amended, D.C. Official Code § 2-218.01 et seq .: 
 
The Contractor is not certified as a local, small, or disadvantaged business enterprise.
 
 
(V) Other aspects of the proposed contract that the Chief Procurement Officer considers 
significant: 
 
All relevant aspects of the proposed Contract are enclosed. 
 
(W) A statement indicating whether the proposed contractor is currently debarred from providing 
services or goods to the District or federal government, the dates of the debarment, and the 
reasons for debarment: 
 
As of March 21, 2023, the Contractor does not appear on the District or Federal Excluded 
Parties List.
 
 
(X) Any determination and findings issues relating to the contract’s formation, including any 
determination and findings made under D.C. Official Code § 2-	352.05 (privatization 
contracts):  
                          
 None. 
 
(Y) Where the contract, and any amendments or modifications, if executed, will be made 
available online: 
 
The Hospital's website is currently being upgraded and the Hospital intends to post the 
executed Contract as soon as possible. Until then, the contract remains available onsite.
 
    6 
 
(Z) Where the original solicitation, and any amendments or modifications, will be made available 
online: 
 
The Hospital's website is currently being upgraded and the Hospital intends to post the 
executed Contract as soon as possible. 
    1101 4
th 
Street, SW
Washington, DC 20024
Date of Notice:May 10, 2023	L0009573432Notice Number: 
FEIN: **-***6157
Case ID: 1510748
 
Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue 
MAXIM HEALTHCARE STAFFING SERVICES INC
7227 LEE DEFOREST DR
COLUMBIA MD  21046-3236
  
Branch Chief, Collection and Enforcement Administration
Authorized By Melinda Jenkins
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
“Validate a Certificate of Clean Hands” hyperlink under the Clean Hands section. 
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code § 47-2862,  therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE § 47-2862 (2006)
§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
 
 
COPY  Government of the District of Columbia 
Office of the Chief Financial Officer 
 
MEMORANDUM 
To: Jacqueline Payne- Borden, Chief Executive Officer 
 
From: Lilian Chukwuma, CFO – Not-for-Profit Hospital Corporation 
 
Date: May 30, 2023  
 
Re: Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with Maxim 
Healthcare Staffing Approval and Payment Authorization Emergency Act of 2023 
 
   
The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with Maxim Healthcare 
Staffing Services, Inc. for the provision of nurse staffing services pertaining to the emergency 
department, intensive care unit, and telemetry services. Modification 10 of the Contract 
partially exercised Option Year 2 	for a total amount of $	925,000.00 for the period from 
December 10, 2022 and terminating on February 7	, 2023. Proposed Modification 11 	of the 
Contract for $4,200,000.00 would exercise the remainder of Option Year 2 through 	December 
9, 2023, revising the total 12-month Option Year 2 dollar amount to $5,125,000.00. 
 
The Office of the Chief Financial Officer hereby certifies that the funds are included in the 	NFPHC FY 2023 budget.  
        UMC 
  
  
 
 
 
1310 SOUTHERN AVENUE, SE WASHINGTON, D.C.  20032-4623    •   202-574-6000      •     WWW.UNITED-MEDICALCENTER.COM NOT-FOR-PROFIT HOSPITAL CORPORATION 
 
   
  
 
MEMORANDUM 
 
To:  Jacqueline Payne-Borden  
 Chief Executive Officer 
 
From:  Eric Goulet  
 General Counsel 
 
Reference: Modification Nos. 10 and 11 to Contract NFPHC-NSD-21-C-00027 with 
Maxim Healthcare Staffing Approval and Payment Authorization 
Emergency Act of 2023 
 
Date:  May 30, 2023 
 
Subject: Legal Sufficiency  
 
 
I have reviewed the above-referenced Modification Nos. 10 and 11 to Contract NFPHC-
NSD-21-C-00027 with Maxim Healthcare Staffing Inc. for the provision of nurse staffing 
services pertaining to the emergency department, intensive care unit, and telemetry 
services. 
 
I hereby certify that it appears to be legally sufficient. Please be advised that my finding 
is premised on the Contract being submitted to and approved by the Council of the 
District of Columbia.  
 
 
    DocuSign Envelope ID: E23A511B-8C36-45E1-AB9C-DD8EB87BDDB0   NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as 
United Medical Center,  
an instrumentality of the District of Columbia government, hereinafter 
known as the “Hospital”. 
CONTRACT MODIFICATION/ CHANGE ORDER 
Page 
1 of  1 
NFPHC-NSD-21-C-00027 
2.Address (Send invoices here)	4. Requisition/Purchase Order/Task Order/Modification Number:
Not-For-Profit Hospital Corporation 
United Medical Center – 	Accounts Payable 
1310 Southern Avenue, S.E. 
Washington, D.C. 20032 
3a. Effective Date: 
December 10, 2022 
Modification #10 3b.  Date of Council 
Approval: N/A 
5.Department(s) Using Goods or Services:   Nursing Department
6. Contractor: name; address; phone number and email address
Maxim Healthcare Staffing Services, Inc. 
962 Wayne Avenue, Suite 600 
Silver Spring, MD 20910 
7.
 Subject:
Modification to partially exercise Option Year Two (OY2) for sixty (
60) 
days, commencing o
n December 10, 2022 and terminating on February 
7, 2023. 
8. Exercise of 
Option 
X 
Change Order Supplemental 
Agreement 
Letter Contract/ 
Contract Extension 
Other: 
9. Modification/Change Order Amount: $925,000.00	10. Total Contract Amount: $925,000.00
11.Modification to partially exercise Option Year Two (OY2) for sixty (60) days for the provision of Nurses.
Unit: Rates 
ED $138.00 
ICU $135.00 
MS/T $115.00 
RT $110.00 
*All other terms and conditions of the contract shall remain the same.
* Modification reflects new rates
12. Name of Contractor:                            
Signature:  _________________________________ 
Date: 13.Signature of Contracting Officer:  Kendrick Dandridge,
Contracting Officer
Signature:  ___________________________________ 
Date: 
14. GENERAL COUNSEL – LEGAL SUFFICIENCY
This contract appears legally sufficient.  Please be advised that my finding is premised on the Contract receiving any and all requisite approvals.  In additions, the Hospital 
continues to work with other District agencies to determine the most effective manner for all involved to achieve their respective legislative mandates while the Hospital 
strives to meet: (i) its Establishment Act purposes (D.C Official Code §44	-95 I.02(b)): (ii) the Hospital Board of Directors approved Strategic Plan (all thirteen 
Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of 2014 (PRO-731)), which 
expressed the desire that the Hospital move swiftly to implement the strategic plan); and (iii) its clarified District government charged legislative mandate in the Fiscal Year 
2015 Budget Support Emergency Act of 2014 (B20-849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals 
for private sector takeover of the ownership and management of the United Medical Center. *  Maryland barred attorney not licensed to practice law in D.C., work is 
supervised by a D.C. Bar Member.
Legal Sufficiency: _________________________________________    Date: _ _______________ 
 Michael Austin, 
 NFPHC Associate Counsel * 
15. CERTIFICATION OF FUNDS
Signature: ________________________________ Date: ____________ 
 Lilian Chukwuma, NFPHC CFO  
I hereby certify funds are sufficiently included in the District’s FY 2023 budget and 
financial plan to support this Contract.  
FOR INTERNAL PURPOSES ONLY 
OCFO REVIEW APPROVAL : ________: NFPHC Budget Officer     CEO REVIEW APPROVAL : _______: NFPHC Chief Executive Officer  Rob Coombs   DocuSign Envelope ID: 460741DA-263E-43DC-B331-0667EB0DB171
12/6/2022
12/13/2022   NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as 
United Medical Center,  
an instrumentality of the District of Columbia government, hereinafter 
known as the “Hospital”. 
CONTRACT MODIFICATION/ CHANGE 
ORDER 
Page of Pages 
1 of  1  
NFPHC-MS-22-C-00043 
2.Address (Send invoices here) 3a. Effective Date: 4. Requisition/Purchase Order/Task Order/Modification Number:
Not-For-Profit Hospital Corporation 
United Medical Center – 	Accounts Payable 
1310 Southern Avenue, S.E. 
Washington, D.C. 20032 
      February 8, 2023 
Modification #1 1
3b.  Date of Council 
Approval: 
5.Department(s) Using Goods or Services:    Nursing Department
6. Contractor: name; address; phone number and email address
Maxim Healthcare Staffing Services, Inc. 
962 Wayne Avenue, Suite 600  
Silver Spring, MD 20910 
7. Subject:
Modification/change order to increase NTE and to exercise the remainder of 
Option Year two (OY2), commencing on February 8, 2023 and concluding on 
December 09, 2023.
 
8. Exercise of 
Option 
Change Order 
X 
Supplemental 
Agreement 
Letter Contract/ 
Contract Extension 
Other: 
9. Modification/Change Order Amount:  $2,500,000.00	10. Total Contract Amount: $3,425,000.00
11.Modification to increase NTE amount and to exercise the remainder of contract Option Year Two (OY2) for the provision of Nurses.
Unit: Rates 
ED $125.00 
ICU $122.00 
MS/T $110.00 
RT $98.00 
a.All t erms of the Contract shall remain in full force and effect.
b.Modification reflects new rates
12.Name of Contractor:                                               
Signature:  _________________________________ 
Date: 13. Signature of Contracting Officer:   Kendrick Dandridge,
Contracting Officer
Signature:  ___________________________________
Date: 
14. GENERAL COUNSEL – LEGAL SUFFICIENCY
This contract appears legally sufficient.  Please be advised that my finding is premised on the Contract receiving any and all requisite approvals.  In additions, the Hospital 
continues to work with other District agencies to determine the most effective manner for all involved to achieve their respective legislative mandates while the Hospital 
strives to meet: (i) its Establishment Act purposes (D.C Official Code §44	-95 I.02(b)): (ii) the Hospital Board of Directors approved Strategic Plan (all thirteen 
Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of 2014 (PRO-731)), which 
expressed the desire that the Hospital move swiftly to implement the strategic plan); and (iii) its clarified District government charged legislative mandate in the Fiscal Year 
2015 Budget Support Emergency Act of 2014 (B20-849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals 
for private sector takeover of the ownership and management of the United Medical Center.
 
Legal Sufficiency: ______________________________________         Date: __________________ 
15. CERTIFICATION OF FUNDS
Signature: ____________________________________     Date:  ________ 
  Lilian Chukwuma, NFPHC CFO  
I hereby certify funds are sufficiently included in the District’s FY 2023 budget and 
financial plan to support this Contract.  
FOR INTERNAL PURPOSES ONLY 
OCFO REVIEW APPROVAL: : NFPHC Budget Officer CEO REVIEW APPROVAL:  ______
___: NFPHC Chief Operating Officer  3/21/2023 Maxim Healthcare Staffing Services, Inc.   
Yanira van den Broeck Nieves, NFPHC Associate General CounselDocuSign Envelope ID: D6CE3BD4-EFE0-49CA-9BEB-5201F6C60613
3/21/2023
3/21/2023
3/21/2023