November1,2023
TheHonorablePhilMendelson
Chairman,CounciloftheDistrictofColumbia
JohnA.WilsonBuilding
1350PennsylvaniaAvenue,N.W.
Suite504
Washington,DC20004
‘DearChairmanMendelson:
EnclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiais
‘Modification1toContractNo.NFPHC-HL-23-CbetweentheNot-for-ProfitHospital
CorporationandGeorgeWashingtonUniversityMedicalFacultyAssociates,Inc.,Approvaland
PaymentAuthorizationEmergencyActof2023,andModification|toContractNo.NFPHC-
HL-23-CbetweentheNot-for-ProfitHospitalCorporationandGeorgeWashingtonUniversity
‘MedicalFacultyAssociates,Inc.ApprovalandPaymentAuthorizationEmergencyDeclaration
Resolutionof2023,fortheprovisiontoprovideInpatientHospitalistsServices(“Contract”).
‘CouncilactionisnecessarytoapproveModification1,whichseekstoexerciseOptionYear1in
theamountof$5,978,204.84fora12-monthperiod(October1,2023toSeptember30,2024).The
proposedmodificationisretroactiveduetotheextendednegotiatingperiodneededtosecurethe
incumbentvendorduringtheHospital’spendingwinddown.Continuedapprovalisvitalto
avoidingamajordisruptioninthesecriticalpatientcareservices.
‘Asalways,Iamavailabletodiscussanyquestionsyoumayhaveregardingthissubmittal.Inorder
tofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactmeat(202)
574-6611.Ilookforwardtoafavorableconsiderationonthiscontract.
Sincerely,
Cegyetns: Bue Row,
Payne-Borden
ExecutiveOfficer
Not-for-ProfitHospitalCorporation
Enclosure
1310SOUTHERNAVENUE,SEWASHINGTON,0.C,20032-4623+202.574.6000+—WWWLUNITED-MEDICALCENTER.COM 1
2 airman Phil Mendelson
3 on behalf
of the Not-for-Profit
4 Hospital Corporation
5
6
7
8
9 AB~L
10
11
12
13
14 IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
15
16
17
18
19 To approve, on an emergency basis, Modification 1 to Contract No. NFPHC-HL-23-C
20 the Not-for-Profit Hospital Corporation, commonly known
as United Medical
21 Center ("Hospital") and George Washington University Medical Faculty
22 Associates, Inc., ("
GW MFA") to provide Inpatient Hospitalists Service s, and to
23 authorize payment for the services received and to be received under the Contract.
24
25 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA,
26 That this act may be cited as the "Modification 1 to Contract No. NFPHC-HL-23-C
27 between Not-for-Profit Hospital Corporation and George Washington University Medical
28 Faculty Associates, Inc., ("GW MF A") Approval and Payment Authorization Emergency
29 Act
of 2023".
30 Sec.
2. Pursuant to section 451 of the District of Columbia Home Rule Act,
31 approved December 24, 1973 (87 Stat. 803; D.C. Official Code § 1-204.51 ), and
32 notwithstanding the requirements of section 202 of the Procurement Practices Reform
33 Act of 2010, effective April 8, 2011 (D.C. Law 18-371; D.C. Official Code§ 2-352.02),
34 the Council approves Modification 1 to Contract No. NFPHC-HL-23-C between the Not-
35 for-Profit Hospital Corporation and George Washington University Medical Faculty 2
Associates, Inc., (“GW MFA”) to provide Inpatient Hospitalists Services, and authorizes 36
payment for the services received and to be received under this Contract and payment in 37
the amount of $5,978,204.84. 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
50 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 No. NFPHC- HL-23-C
Proposed Contractor:
George Washington University Medical Faculty Associates, Inc., (“GW
MFA”)
Contract Amount : Modification 1: $5,978,204.84
Unit and Method of Compensation: Monthly with proper invoices
Term of Contract: October 1, 2023 to September 30, 2024; 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 letter Contract: $538,075.58 (October 1, 2022 to October 31, 2022)
o Total Definitized contract: $6,018,096.73 (October 1, 2022 - September 30, 2023) ;
Council approved (A24-719)
- Option Year 1
o Modification 1: $5,978,204.84 ( October 1, 2023 to September 30, 2024)
(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:
2
The provision to provide the Inpatient Hospitalists for a period from October 1, 2023 to September
30, 2024. Through the duration of this contract UMC will pay out of pocket $4,806,489.84 and the
balance up to $1,171,715.00 from billing collections for 12 months.
(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:
This Contract was sole sourced under 27 DCMR 4618 because UMC couldn't afford to
experience disruption with these urgent services, especially given the pending wind down.
George Washington University Medical Faculty Associates is the incumbent vendor and can
provide the Inpatient Hospitalists services without any lapse.
(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:
Medical Faculty Associates, Inc. - Background and Qualifications
Medical Faculty Associates, Inc. ("MFA") is a leading healthcare provider across the
Washington Metropolitan region. MFA serves as the administrative and contracting organization
for The George Washington University's ("GWU") 800 academic and community physicians.
With experts across over 50 clinical specialty and subspecialty areas, MFA serves patients and
families from across the Washington Metropolitan region. MFA faculty provides services to
many communities and health care institutions including The George Washington University
Hospital, Children's National Health System, Walter Reed National Military Medical Center,
INOVA Health and more. MFA provides a variety of office and hospital-based services for adult
patients including Emergency Medicine, Hospitalist, Radiology, Anesthesiology, Critical Care,
Pathology, Obstetrics and Gynecology, Pain Management, Psychiatric, and Surgical services.
Description and Organizational Philosophy
MFA is a 501(c)(3), not-for-profit, locally controlled, physician-led tax-exempt organization.
MFA has over 2,150 employees and is comprised of 13 clinical Departments that makeup a large
integrated multispecialty group. Affiliated with The George Washington University, MFA has
grown to become one of the largest independent physician practices. Affiliated with The George
Washington
School of Medicine and Health Sciences ("GWSMHS"), MFA is committed to the goals of
providing superior healthcare, advancing knowledge and training future caregivers. MFA's 3
physicians teach and mentor medical students, residents and researchers at GWSMHS which
was the first medical school in the nation's capital and the eleventh oldest in the United States.
(G) The period of performance associated with the proposed change, including date as of which
the proposed change is to be made effective:
October 1, 2023 - September 30, 2024. Should the Council approve the proposed change, it will be
deemed effective retroactive to Oct 1, 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 1 is $308,113.97
(I) The aggregate dollar value of the proposed changes as compared with the amount of the
contract as awarded:
The aggregate value of the of the proposed Modification 1: $5,978,204.84
(J) The date on which the contracting officer was notified of the proposed change:
July 20, 2023
(K) The reason why the proposed change was sent to Council for approval after it is intended to
take effect:
Additional time to negotiate was required to avoid a lapse in critical emergency department
services.
(L) The reason for the proposed change:
To exercise the next option year.
(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:
4
UMC has worked diligently with DC Department of Small and Local Business Development
(DSLBD) to find CBEs to provide these services, but past efforts were unsuccessful. There is no
subcontracting plan because of the critical need and highly specialized nature of the services to be
provided. UMC will continue to do its best, yet acknowledges that as the closure nears,
procurement opportunities will become more limited and avoiding disruption to major services
more paramount.
(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:
The amount of funds used prior to submission is $0.
(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:
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 .: 5
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 September 16, 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.
(Z) Where the original solicitation, and any amendments or modifications, will be made available
online:
The Hospital's website is still being upgraded and the Hospital intends to post the executed
Contract as soon as possible. Until then, the Contract is available onsite.
1101 4
th
Street, SW
Washington, DC 20024
Date of Notice:October 3, 2023 L0010310677Notice Number:
FEIN: **-***0700
Case ID: 1670273
Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue
MEDICAL FACULTY ASSOCIATES INC
2150 PENNSYLVANIA AVE NW
WASHINGTON DC 20037-3201
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
CC: Kendrick Dandridge, Contracting Officer
From: Lilian Chukwuma, CFO – Not-for-Profit Hospital Corporation
Date: October 31, 2023
Re: Modification 1 to Contract No. NFPHC-HL-23-C between Not-for-Profit Hospital
Corporation and George Washington University Medical Faculty Associates, Inc.,
(“GW MFA”) Approval and Payment Authorization Emergency Act of 2023
The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with George Washington
University Medical Faculty Associates, Inc., (“GW MFA”) for the provision of Inpatient Hospitalists services. The Proposed Modification 1 of Contract No. NFPHC-HL-23-C has a
contract value of $5,978,204.84 for a 12- month period, October 1, 2023 – September 30, 2024.
The Office of the Chief Financial Officer hereby certifies that the funds are included in the NFPHC FY 2024 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
CC: Kendrick Dandridge
Contracting Officer
From: Eric Goulet
General Counsel
Reference: Modification 1 to Contract No. NFPHC -HL-23-C between Not-for-Profit
Hospital Corporation and George Washington University Medical Faculty
Associates, Inc., (“GW MFA”) Approval and Payment Authorization
Emergency Act of 2023
Date: October 31, 2023
Subject: Legal Sufficiency
I have reviewed the above- referenced Modification 1 to Contract No. NFPHC -HL-23-C
between the Not-for-Profit Hospital Corporation, commonly known as United Medical
Center (“Hospital”), and George Washington University Medical Faculty Associates,
Inc., for the provision to provide I npatient Hospitalists services.
I hereby certify that it appears to be legally sufficient. Please be advised that my finding
is premised on the Contracts being submitted to and approved by the Council of the
District of Columbia.
DocuSign Envelope ID: 65512C5C-C88F-4C20-AA05-98569A45956D 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 3
NFPHC-HL-23-C-0001A
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
10/01/2023
Modification #1 3b. Date of Council Approval:
N/A
5. Department(s) Using Goods or Services:
6. Contractor: name; address; phone number and email address
Medical Faculty Associates, Inc.
2150 Pennsylvania Avenue NW
Washington, DC 20037
7. Subject:
Modification to exercise Option Year One (OY1) for the provision to provide
Inpatient Hospitalists Services at the Hospital twenty-four (24) hours per day,
from October 1, 2023 to September 30, 2024, reporting to the assigned Hospital
Administrative Staff.
8. Exercise of
Option
X
Change Order
Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $5,978,204.84 (Out-of-Pocket from UMC
$ 4,806,489.84 + Up to $1,171,715.00 from Billing Collections for 12 months)
10. Total Contract Amount: $5,978,204.84
11. The parties hereby agree to exercise this Mod 1 to this certain Contract for FY 24 as follows:
a.
OPTION YEAR 1
Contract Line
Item Number
(CLIN)
Description Monthly Amount
Annual Not-to-
Exceed Amount
0001
Primary Provider Costs
8 Physicians - Days; 2 Physicians - Nights;
2 Mid-Level-Days; 2 Mid-level4nights;
1 float physician to cover surges in census,
emergencies, PTO
0.9 additional staff
$400,540.82 $4,806,489.84
TOTAL AMOUNT:
$4,806,489.84
* Total value of the contract is $5,978,204.84. Medical Faculty Associates, Inc. receives and keep up to $1,171,715.00 of
collections for this agreement (NFPHCHL- 23-C-0001) and excess collection over the agreement will revert to UMC.
b. Performance Metrics:
1. VTE MEASURES . . . . . . . 90% COMPLIANCE
• VTE DX o D/C ON BLOOD THINNERS
o MEDICATION D/C INSTRUCTIONS
• HOSPITAL ACQUIRED VTE
o PROPHYLAXIS ON ADMISSION
2. PRESS GANEY SCORES . . . . . . . 100% COMPLIANCE
o MONTHLY COMPOSITE SCORES ABOVE 50%
3. REVIEW OF DENIALS . . . . . . . 80% COMPLIANCE
o PARTICIPATE IN APPEALS PROCESS INCLUDING PEER -TO-PEER
DocuSign Envelope ID: 987E45C7-81A2-4DB5-B515-FA1DD23E15BC 4. COMPLETION OF DOCUMENTATION PER MEDICAL STAFF BYL AWS,
INCLUDING BHU H&Ps . . . . . . . 90% COMPLIANCE
5.COMPLIANCE WITH MEDICAL NECESSITY (Shared Performance) . . . . . . . 90% COMPLIANCE
COORDINATION OF CARE
o APPROPIRATENESS OF ADMISSION
o APPROPRIATE LEVEL OF CARE
There will be a three (3) month grace period from the commencement of the contract before any penalties are to be levied. During
this time, the Hospital will review and make any necessary adjustments in any particular areas prior to moving forward. This will
include assessing nursing and ancillary staffing, consultation availability and other support services.
For any measure that falls below the indicated level of compliance for any given quarter, there will be a $1,000.00 penalty
assessed against the next months payment.
For the shared performance metric, if performance falls below the compliance level for any given quarter, both services will incur
a $1,000.00 penalty to be assessed against the following months payments.
If there are any disputes or mitigating factors that significantly impact the ability to comply with the performance metrics as
stated, those concerns are to be forwarded to the Chief Medical Officerand/or the Assistance Chief Medical Officer for review and
final determination.
There will be no bonus payments for any performance above the stated levels of compliance as this is the level of care that is
expected under the terms of the contractual agreement. However, penalties may be waived by improved performance above the
compliance level for the corresponding metric for the quarter immediately following.
*All other Contract terms shall remain in full force and effect.
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: ________________
Eric Goulet, NFPHC General Counsel
15. CERTIFICATION OF FUNDS
Signature: ________________________________ Date: ____________
Lilian Chukwuma, NFPHC CFO
I hereby certify funds are sufficiently included in the District’s FY 2024 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
Christopher Smedley, MPM
Chief Clinical Affairs and Strategy Officer
09/29/2023DocuSign Envelope ID: 987E45C7-81A2-4DB5-B515-FA1DD23E15BC
10/2/2023
10/3/2023
10/3/2023