UMC
UNITED
September25,2024
TheHonorablePhilMendelson
Chairman,CounciloftheDistrictofColumbia
JohnA.WilsonBuilding
1350PennsylvaniaAvenue,N.W.
Suite504
Washington,DC20004
DearChairmanMendelson:
EnclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiais
“ModificationNos.4,5,and6toContractNFPHC-MS-22-C-00043betweenNot-for-
ProfitHospitalCorporationandAmergisHealthcareStaffingInc.ApprovalandPayment
AuthorizationEmergencyActof2024”,and“ModificationNos.4,5,and6toContract
NFPHC-MS-22-C-00043betweentheNot-for-ProfitHospitalCorporationandAmergis
HealthcareStaffingInc.ApprovalandPaymentAuthorizationEmergencyDeclaration
Resolutionof2024”,fortheprovisionofrespiratorytherapiststaffingservices
(“Contract”).
CouncilactionisnecessarytoapproveproposedModification6($900,000.00)alongwith
fullyexecutedmodifications4and5($500,000.00and$400,000.00)becausewhen
combined,thetotalretroactivecontractvalueofoptionyeartwocontractwouldbe
$1,800,000.00fortheperiodOctober11,2023toOctober10,2024.Continuedapproval
isvitaltoavoidingamajordisruptionintheseservices.ThisContractisbeingsubmitted
retroactivelybecauseadditionaltimewasneededtoexplorethepossibilityofgenerating
savingsthroughlesscostlyalternatives.Ultimately,itwasnotfeasibleduetoUMC’s
wind-down/pendingclosureandcompetingnationalandregionalpersonnelneeds,sothe
contractwasfurthermodifiedtoaddresstheUMC’sannualdemand.Councilapproval
remainsvitaltoavoiddisruptiontotheseessentialservices.Note:AmergisHealthcare
StaffingInc.wasformerlyMaximHealthcareStaffingServicesInc.,andthebaseyearof
thiscontractwasapprovedbyCouncilonNovemberI,2022(A24-652).
‘Asalways,Iamavailabletodiscussanyquestionsyoumayhaveregardingthis
submittal.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehave
yourstaffcontactmeat(202)574-6611.Ilookforwardtoafavorableconsiderationon
thiscontract.
SeefagRY
inePayne-Borden
11310SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-574-6000+WWW.UNITED-MEDICALCENTER.COM e°eUMC
UNITED
ChiefExecutiveOfficer
Not-for-ProfitHospitalCorporation
Enclosure
1910SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-574-6000+WWW.UNITED-MEDICALCENTER.COM ; ~~=-
3 on behalf of the Not-for-Profit
4 Hospital Corporation
5
6
7
8
9 A BILL
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 Nos. 4, 5, and 6 to Contract NFPHC-
20 MS-22-C-00043 between the Not-for-Profit Hospital Corporation, commonly
21 known as United Medical Center ("Hospital") and Amergis Healthcare Staffing
22 Inc. (formerly Maxim Healthcare Staffing Services Inc) for the provision
of
23 supplemental respiratory therapist staffing services, and to authorize payment for
24 the services received and
to be received under the Contract.
25
26 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA,
27 That this act may be cited
as the "Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-
28 22-C-00043 between Not-for-Profit Hospital Corporation and Amergis Healthcare
29 Staffing Inc. Approval and Payment Authorization Emergency Act
of 2024".
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 Nos. 4, 5, and 6 to Contract NFPHC-MS-22-C-00043
35 between the Not-for-Profit Hospital Corporation and Amergis Healthcare Staffing Inc.
36 for the provision
of respiratory therapist staffing services, and authorizes 2
payment for the services received and to be received under this Contract and payment in 37
the amount of $1,800,000.00. 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
50
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: NFPHC -MS-22-C-00043 Modifications
Proposed Contractor: Amergis Healthcare Staffing Inc. (formerly Maxim
Healthcare)
Contract Amount: Option Year Two : Mod 4: $500,000.00
Mod 5: $400,000.00
Proposed Mod 6: $900,000.00
Rev Total: $1,800,000.00 Unit and Method of Compensation: Payments due monthly
Term of Contract: October 11, 2023 to October 10, 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 the difference:
- Base Period:
o Base Year and Modification #1 and 2 to the Base Period: $ 1,690,000.00 (October
11, 2021 to October 10, 2022); Council approved as A24-652
2
- Option Year One
o Modification #3: $1,800,000.00 (October 11, 2022 to October 10, 2023); Council
approved as A24-652
- Option Year Two
o Modification #4: $ 500,000.00 (October 11, 2023 to October 10, 2024)
o Modification #5: $ 400,000.00 (October 11, 2023 to October 10, 2024)
o Proposed Modification #6: $ 900,000.00 (October 11, 2023 to October 10, 2024)
will revise the Option Year 2 Period to $1,800,000.00.
(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 respiratory therapist staffing services, for a period from
October 11, 2023 to October 10, 2024.
(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:
Option year 2 of the Contract was sole sourced under 27 DCMR 4618 after several attempts
to find less costly alternatives.
(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:
Amergis Healthcare Staffing Inc. (formerly know as Maxim Healthcare Staffing Services,
Inc.) is a privately held medical staffing company headquartered in Columbia, Maryland,
that was founded in 1988. Amergis is accredited by the Accreditation Commission for
Health Care (ACHC) for private duty nursing and certified home healthcare programs and is
accredited by The Joint Commission for healthcare staffing services. Amergis is committed
to adhering to standards set forth by The Joint Commission. In keeping with this dedication
to quality service, Amergis 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:
3
October 11, 2023 to October 10, 2024, effective upon the date of Council approval, should
Council approve of the Contract and the parties fully execute the proposed modification.
(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 Proposed Modification #6 is $558,213.13
(I) The aggregate dollar value of the proposed changes as compared with the amount of
the contract as awarded:
The aggregate dollar value of the proposed change as compared to the amount as awarded is
$900,000
(J) The date on which the contracting officer was notified of the proposed change:
May 14, 2024
(K) The reason why the proposed change was sent to Council for approval after it is
intended to take effect:
UMC submitted the initial renewal for Option Year 2 with Amergis (formerly Maxim
Healthcare Staffing Services, Inc.) at only $500,000.00 to explore potential savings options
for the hospital through contract ing with other Respiratory Therapist staffing vendors. UMC
added $400,000.00 to meet staffing needs, as it continued to examine whether additional
vendors, including any CBEs, could provide this service. Despite best efforts, UMC was
not able to procure other supplemental respiratory therapist staffing vendors due to regional
and national staffing demand and because the hospital will be winding- down operations.
Thus, UMC needed to enter into Modification #6, for an additional $900.000.00 to ensure
nurse staffing was available for respiratory therapy services through Amergis.
(L) The reason for the proposed change:
See Response to K
(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:
UMC has worked diligently with DC Department of Small and Local Business
Development (DSLBD) to find local Vendors to provide these services. There wasn’t a 4
Certified Business Enterprise (CBE) that provides Respiratory Therapist . There was no
subcontracting plan due the critical need and highly specialized nature of the services to be
provided under this proposed Contract, so a subcontracting plan and waiver were not
obtained before the contract execution. (Per DSLBD, once a contract is exercised, a waiver
cannot be provided). Even though the winding down process has begun, t he hospital
continues to use best efforts to create and maintain opportunities for small, local, and
disadvantaged businesses at UMC across all areas of the hospital.
(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
CEO and Vice President of Operations. 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 expended under the Contract prior to submission is $1,345,705.00
(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 5
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 August 20, 2024, 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:
Due the hospital’s pending closure, there will be no additional updates to the website;
however, all contracts remain available onsite.
(Z) Where the original solicitation, and any amendments or modifications, will be made
available online:
Due the hospital’s pending closure, there will be no additional updates to the website;
however, all contracts remain available onsite.
1101 4
th
Street, SW
Washington, DC 20024
Date of Notice:September 10, 2024 L0012540062Notice Number:
FEIN: **-***6157
Case ID: 16506204
Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue
AMERGIS HEALTHCARE STAFFING INC.
7223 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: September 24, 2024
Re: Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-22-C-00043 between Not-for-
Profit Hospital Corporation and Amergis Healthcare Staffing Inc. Approval and
Payment Authorization Emergency Act of 2024
The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with Amergis
Healthcare Staffing Inc for the provision of respiratory therapist staffing services.
Modification #4 and #5 of the Contract for a total amount of $900,000.00 for the period from
October 11, 2023 to October 10, 2024. Proposed Modification #6 of the Contract would add the
needed funds for a total value of $9 00,000.00, revising the total dollar amount for twelve
months to $1,800,000.00.
The Office of the Chief Financial Officer hereby certifies that the funds are included in the NFPHC FY 2024 and FY 2025 budgets
••UMC
UNITED
MEDICAL CENnll
MEMORANDUM
To: Jacqueline Payne-Borden
Chief Executive Officer
From: Eric Goulet
� rJ 4J.J----
General Counsel / '
Reference: Modification Nos. 4, 5, and 6 to Contract No. NFPHC-MS-22-C-00043
Date:
between Not-for-Profit Hos
pital Corporation an d Amergis Hea lthcare
Staffing I
nc. Approval and Payment Aut horization Emergency
Act of2024
September 1
3, 2024
Subject: Legal Sufficiency
I have reviewed the above-referenced Contract No. NFPHC-MS-22-C-00043
Modifications 4, 5, and 6 between the Not-for-Profit Hospital Corporation, commonly
known as United Medical Center ("Hospital"), and Amergis Healthcare Staffing Inc., for
the provision of supplemental respiratory therapist staffmg services.
I hereby certify that it appears to be legally sufficient. Please be advised that my fmding
is premised on the Contract being submitted to and approved by the Council of the
District of Columbia.
1310 SOUTHERN A VENUE, SE WASHINGTON, n_c_ 20032-4623 • 202-574-6000 •WWW.UNITED-MEDICALCENTERCOM 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-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
See Box 13
Modification #6
3b. Date of Council
Approval: TBD
5.Department(s) Using Goods or Services: Respiratory Department, Nursing
6.Contractor: name; address; phone number and email
Amergis Healthcare Staffing
Inc. (form erly know as
Maxim Healthcare Staffing Services, Inc.)
962
Wayne Avenue, Suite 600
Silver Spring, MD 20910
7. Subject:
Modification to add additional funds for supplemental Respiratory
Therapists Staffing. The term for this agreement is from October 11,
2023 to October 10, 2024.
8. Exercise of
Option
Change Order
X
Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $900,000.00 10. Total Contract Amount: $1,800,000.00
11.Modification to increase NTE amount for the remainder of the contract for the provision of supplemental Respiratory Therapists through
10/10/2024, in accordance with the following rates: *
UNIT RATES NOT-TO-EXCEED AMOUNT
ED $
95.00 per hour
$1,
800,000.00
ICU $
92.00 per hour
MS/T $88.00 per hour
RT $
85.00 per hour
* All terms of the Contract 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
X Connor McGough, Assistant Controller 05/07/2024 DocuSign Envelope ID: 91FA2179-3C1E-4FAA-B568-0390503C458B
5/9/2024 DocuSign Envelope ID: AC18E499-822B-4A73-809E-CC0D8EEC9A63
5/28/2024
5/28/2024
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
See Box 13
Modification #5
3b. Date of Council
Approval: N/A
5. Department(s) Using Goods or Services: Respiratory Department, Nursing
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 add additional funds for supplemental Respiratory Therapists
Staffing. The term for this agreement is from October 11, 2023 to October 10, 2024 .
8. Exercise of
Option
Change Order
X
Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $400,000.00 10. Total Contract Amount: $900,000.00
11. Modification to increase NTE amount for the remainder of the contract for the provision of supplemental Respiratory Therapists through
10/10/2024, in accordance with the following rates: *
UNIT RATES NOT-TO-EXCEED AMOUNT
ED $138.00 per hour
$900,000.00 ICU $135.00 per hour
MS/T $115.00 per hour
RT $110.00 per hour
* All terms of the Contract 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: __________________
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
03/19/24 DocuSign Envelope ID: 39167997-CF9F-4204-ABB6-0231CA45D57A
3/19/2024
3/21/2024
3/22/2024
4/24/2024 DocuSign Envelope ID: 91FA2179-3C1E-4FAA-B568-0390503C458B DocuSign Envelope ID: AC18E499-822B-4A73-809E-CC0D8EEC9A63
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
10/11/2023
Modification #4
3b. Date of Council
Approval: N/A
5. Department(s) Using Goods or Services: Respiratory Department, Nursing
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 extend the provision of supplemental Respiratory Therapists Staffing
for an additional twelve (12) month period from October 11, 2023 to October 10,
2024.
8. Exercise of
Option X
Change Order
Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $500,000.00 10. Total Contract Amount: $500,000.00
11. Modification to extend services for an additional twelve (12) month period from 10/11/2023 to 10/10/2024, in accordance with the following rates: *
UNIT RATES NOT-TO-EXCEED AMOUNT
ED $138.00 per hour
$500,000.00 ICU $135.00 per hour
MS/T $115.00 per hour
RT $110.00 per hour
* All terms of the Contract 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: __________________
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
10/20/2023 DocuSign Envelope ID: 72DC49A9-55AA-4A4C-8DF7-9D89BFBB95AD
10/23/2023
10/24/2023
10/24/2023
10/25/2023 DocuSign Envelope ID: 39167997-CF9F-4204-ABB6-0231CA45D57A DocuSign Envelope ID: 91FA2179-3C1E-4FAA-B568-0390503C458B DocuSign Envelope ID: AC18E499-822B-4A73-809E-CC0D8EEC9A63