District Of Columbia 2023-2024 Regular Session

District Of Columbia Council Bill B25-0963 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	ENROLLED ORIGINAL
	1	+	UMC
	2	+	UNITED
	3	+	September25,2024
2	4
	5	+	TheHonorablePhilMendelson
	6	+	Chairman,CounciloftheDistrictofColumbia
	7	+	JohnA.WilsonBuilding
	8	+	1350PennsylvaniaAvenue,N.W.
	9	+	Suite504
	10	+	Washington,DC20004
	11	+	DearChairmanMendelson:
	12	+	EnclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiais
	13	+	“ModificationNos.4,5,and6toContractNFPHC-MS-22-C-00043betweenNot-for-
	14	+	ProfitHospitalCorporationandAmergisHealthcareStaffingInc.ApprovalandPayment
	15	+	AuthorizationEmergencyActof2024”,and“ModificationNos.4,5,and6toContract
	16	+	NFPHC-MS-22-C-00043betweentheNot-for-ProfitHospitalCorporationandAmergis
	17	+	HealthcareStaffingInc.ApprovalandPaymentAuthorizationEmergencyDeclaration
	18	+	Resolutionof2024”,fortheprovisionofrespiratorytherapiststaffingservices
	19	+	(“Contract”).
	20	+	CouncilactionisnecessarytoapproveproposedModification6($900,000.00)alongwith
	21	+	fullyexecutedmodifications4and5($500,000.00and$400,000.00)becausewhen
	22	+	combined,thetotalretroactivecontractvalueofoptionyeartwocontractwouldbe
	23	+	$1,800,000.00fortheperiodOctober11,2023toOctober10,2024.Continuedapproval
	24	+	isvitaltoavoidingamajordisruptionintheseservices.ThisContractisbeingsubmitted
	25	+	retroactivelybecauseadditionaltimewasneededtoexplorethepossibilityofgenerating
	26	+	savingsthroughlesscostlyalternatives.Ultimately,itwasnotfeasibleduetoUMC’s
	27	+	wind-down/pendingclosureandcompetingnationalandregionalpersonnelneeds,sothe
	28	+	contractwasfurthermodifiedtoaddresstheUMC’sannualdemand.Councilapproval
	29	+	remainsvitaltoavoiddisruptiontotheseessentialservices.Note:AmergisHealthcare
	30	+	StaffingInc.wasformerlyMaximHealthcareStaffingServicesInc.,andthebaseyearof
	31	+	thiscontractwasapprovedbyCouncilonNovemberI,2022(A24-652).
	32	+	‘Asalways,Iamavailabletodiscussanyquestionsyoumayhaveregardingthis
	33	+	submittal.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehave
	34	+	yourstaffcontactmeat(202)574-6611.Ilookforwardtoafavorableconsiderationon
	35	+	thiscontract.
	36	+	SeefagRY
	37	+	inePayne-Borden
	38	+	11310SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-574-6000+WWW.UNITED-MEDICALCENTER.COM e°eUMC
	39	+	UNITED
	40	+	ChiefExecutiveOfficer
	41	+	Not-for-ProfitHospitalCorporation
	42	+	Enclosure
	43	+	1910SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-574-6000+WWW.UNITED-MEDICALCENTER.COM ; ~~=-
	44	+	3 on behalf of the Not-for-Profit
	45	+	4 Hospital Corporation
	46	+	5
	47	+	6
	48	+	7
	49	+	8
	50	+	9 A BILL
	51	+	10
	52	+	11
	53	+	12
	54	+	13
	55	+	14 IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
	56	+	15
	57	+	16
	58	+	17
	59	+	18
	60	+	19 To approve, on an emergency basis, Modification Nos. 4, 5, and 6 to Contract NFPHC-
	61	+	20 MS-22-C-00043 between the Not-for-Profit Hospital Corporation, commonly
	62	+	21 known as United Medical Center ("Hospital") and Amergis Healthcare Staffing
	63	+	22 Inc. (formerly Maxim Healthcare Staffing Services Inc) for the provision
	64	+	of
	65	+	23 supplemental respiratory therapist staffing services, and to authorize payment for
	66	+	24 the services received and
	67	+	to be received under the Contract.
	68	+	25
	69	+	26 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA,
	70	+	27 That this act may be cited
	71	+	as the "Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-
	72	+	28 22-C-00043 between Not-for-Profit Hospital Corporation and Amergis Healthcare
	73	+	29 Staffing Inc. Approval and Payment Authorization Emergency Act
	74	+	of 2024".
	75	+	30 Sec. 2. Pursuant to section
	76	+	451 of the District of Columbia Home Rule Act,
	77	+	31 approved December 24, 1973 (87 Stat. 803; D.C. Official Code§ 1-204.51), and
	78	+	32 notwithstanding the requirements
	79	+	of section 202 of the Procurement Practices Reform
	80	+	33 Act of 2010, effective April 8, 2011 (D.C. Law 18-371; D.C. Official Code§ 2-352.02),
	81	+	34 the Council approves Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-22-C-00043
	82	+	35 between the Not-for-Profit Hospital Corporation and Amergis Healthcare Staffing Inc.
	83	+	36 for the provision
	84	+	of respiratory therapist staffing services, and authorizes 2
	85	+	payment for the services received and to be received under this Contract and payment in 37
	86	+	the amount of $1,800,000.00. 38
	87	+	Sec. 3. Fiscal impact statement. 39
	88	+	The Council adopts the fiscal impact statement of the Chief Financial Officer as 40
	89	+	the fiscal impact statement required by section 4a of the General Legislative Procedures 41
	90	+	Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-42
	91	+	301.47a). 43
	92	+	Sec. 4. Effective date. 44
	93	+	This act shall take effect following approval by the Mayor (or in the event of veto 45
	94	+	by the Mayor, action by the Council to override the veto), and shall remain in effect for 46
	95	+	no longer than 90 days, as provided for emergency acts of the Council of the District of 47
	96	+	Columbia in section 412(a) of the District of Columbia Home Rule Act, approved 48
	97	+	December 24, 1973 (87 Stat. 788; D.C. Official Code § 1- 204.12(a)). 49
	98	+	50
3	99
4		-
5		-	1
6		-	AN ACT
7		-
8		-	__________
9		-
10		-
11		-	IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
12		-
13		-	__________________
14		-
15		-
16		-	To approve, on an emergency basis, Modification Nos. 4, 5, and 6 to Contract No. NFPHC-MS-
17		-	22-C-00043 between the Not-for-Profit Hospital Corporation, commonly known as
18		-	United Medical Center, and Amergis Healthcare Staffing Inc. (formerly Maxim
19		-	Healthcare Staffing Services Inc.) for the provision of supplemental respiratory therapist
20		-	staffing services, and to authorize payment for the services received and to be received
21		-	under the contract.
22		-
23		-	BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
24		-	act may be cited as the “Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-22-C-00043
25		-	between Not-for-Profit Hospital Corporation and Amergis Healthcare Staffing Inc. Approval and
26		-	Payment Authorization Emergency Act of 2024”.
27		-
28		-	Sec. 2. Pursuant to section 451 of the Home Rule Act, (D.C. Official Code § 1-204.51)
29		-	and notwithstanding the requirements of section 202 of the Procurement Practices Reform Act of
30		-	2010, effective April 8, 2011 (D.C. Law 18-371; D.C. Official Code § 2-352.02), the Council
31		-	approves Modification Nos. 4, 5, and 6 to Contract No. NFPHC-MS-22-C-00043 between the
32		-	Not-for-Profit Hospital Corporation and Amergis Healthcare Staffing Inc. for the provision of
33		-	respiratory therapist staffing services and authorizes payment in the not-to-exceed amount of
34		-	$1.8 million the services received and to be received under the contract.
35		-
36		-	Sec. 3. Fiscal impact statement.
37		-	The Council adopts the fiscal impact statement of the Chief Financial Officer as the fiscal
38		-	impact statement required by section 4a of the General Legislative Procedures Act of 1975,
39		-	approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
40		-
41		-	Sec. 4. Effective date.
42		-	This act shall take effect following approval by the Mayor (or in the event of veto by the
43		-	Mayor, action by the Council to override the veto), and shall remain in effect for no longer than
44		-	90 days, as provided for emergency acts of the Council of the District of Columbia in section
45		-	ENROLLED ORIGINAL
46		-
47		-
48		-
49		-	2
50		-	412(a) of the District of Columbia Home Rule Act, approved December 24, 1973 (87 Stat. 788;
51		-	D.C. Official Code § 1-204.12(a)).
	100	+	GOVERNMENT OF THE DISTRICT OF COLUMBIA
	101	+	Office of Contracting and Procurement
52	102
53	103
54	104
55	105
56		-	______________________________
57		-	Chairman
58		-	Council of the District of Columbia
	106	+	Pursuant to section 202(c-1) of the Procurement Practices Reform Act of 2010, as amended,
	107	+	D.C. Official Code § 2-352.02(c-1), the following contract summary is provided:
	108	+
	109	+	COUNCIL CONTRACT SUMMARY
	110	+	(Retro)
	111	+	(A) Contract Number: NFPHC -MS-22-C-00043 Modifications
	112	+	Proposed Contractor: Amergis Healthcare Staffing Inc. (formerly Maxim
	113	+	Healthcare)
	114	+
	115	+	Contract Amount: Option Year Two : Mod 4: $500,000.00
	116	+	Mod 5: $400,000.00
	117	+	Proposed Mod 6: $900,000.00
	118	+	Rev Total: $1,800,000.00 Unit and Method of Compensation: Payments due monthly
	119	+	Term of Contract: October 11, 2023 to October 10, 2024; retroactive
	120	+
	121	+	Type of Contract: Fixed Fee, with monthly reconciliation
	122	+	Source Selection Method: Sole Source under 27 DCMR 4618
	123	+
	124	+	(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:
	125	+
	126	+	- Base Period:
	127	+	o Base Year and Modification #1 and 2 to the Base Period: $ 1,690,000.00 (October
	128	+	11, 2021 to October 10, 2022); Council approved as A24-652
	129	+	2
	130	+	- Option Year One
	131	+	o Modification #3: $1,800,000.00 (October 11, 2022 to October 10, 2023); Council
	132	+	approved as A24-652
	133	+
	134	+	- Option Year Two
	135	+	o Modification #4: $ 500,000.00 (October 11, 2023 to October 10, 2024)
	136	+	o Modification #5: $ 400,000.00 (October 11, 2023 to October 10, 2024)
	137	+	o Proposed Modification #6: $ 900,000.00 (October 11, 2023 to October 10, 2024)
	138	+	will revise the Option Year 2 Period to $1,800,000.00.
	139	+
	140	+
	141	+	(C) The goods or services to be provided, the methods of delivering goods or services, and
	142	+	any significant program changes reflected in the proposed contract:
	143	+
	144	+	This Contract is for the provision of respiratory therapist staffing services, for a period from
	145	+	October 11, 2023 to October 10, 2024.
	146	+
	147	+	(D) The selection process, including the number of offerors, the evaluation criteria, and the
	148	+	evaluation results, including price, technical or quality, and past performance
	149	+	components:
	150	+
	151	+	Option year 2 of the Contract was sole sourced under 27 DCMR 4618 after several attempts
	152	+	to find less costly alternatives.
	153	+
	154	+	(E) A description of any bid protest related to the award of the contract, including
	155	+	whether the protest was resolved through litigation, withdrawal of the protest by the
	156	+	protestor, or voluntary corrective action by the District. Include the identity of the
	157	+	protestor, the grounds alleged in the protest, and any deficiencies identified by the
	158	+	District as a result of the protest:
	159	+
	160	+	There were no protests associated with this procurement.
	161	+
	162	+	(F) The background and qualifications of the proposed contractor, including its
	163	+	organization, financial stability, personnel, and performance on past or current
	164	+	government or private sector contracts with requirements similar to those of the
	165	+	proposed contract:
	166	+
	167	+	Amergis Healthcare Staffing Inc. (formerly know as Maxim Healthcare Staffing Services,
	168	+	Inc.) is a privately held medical staffing company headquartered in Columbia, Maryland,
	169	+	that was founded in 1988. Amergis is accredited by the Accreditation Commission for
	170	+	Health Care (ACHC) for private duty nursing and certified home healthcare programs and is
	171	+	accredited by The Joint Commission for healthcare staffing services. Amergis is committed
	172	+	to adhering to standards set forth by The Joint Commission. In keeping with this dedication
	173	+	to quality service, Amergis has adapted The Joint Commission’s standards into daily
	174	+	business practices and internal training programs.
	175	+
	176	+	(G) The period of performance associated with the proposed change, including date as of
	177	+	which the proposed change is to be made effective:
	178	+	3
	179	+	October 11, 2023 to October 10, 2024, effective upon the date of Council approval, should
	180	+	Council approve of the Contract and the parties fully execute the proposed modification.
	181	+
	182	+	(H) The value of any work or services performed pursuant to a proposed change for which
	183	+	the Council has not provided approval, disaggregated by each proposed change if
	184	+	more than one proposed change has been aggregated for Council review:
	185	+
	186	+	The value of work performed pursuant to Proposed Modification #6 is $558,213.13
	187	+
	188	+	(I) The aggregate dollar value of the proposed changes as compared with the amount of
	189	+	the contract as awarded:
	190	+
	191	+	The aggregate dollar value of the proposed change as compared to the amount as awarded is
	192	+	$900,000
	193	+
	194	+	(J) The date on which the contracting officer was notified of the proposed change:
	195	+
	196	+	May 14, 2024
	197	+
	198	+	(K) The reason why the proposed change was sent to Council for approval after it is
	199	+	intended to take effect:
	200	+
	201	+	UMC submitted the initial renewal for Option Year 2 with Amergis (formerly Maxim
	202	+	Healthcare Staffing Services, Inc.) at only $500,000.00 to explore potential savings options
	203	+	for the hospital through contract ing with other Respiratory Therapist staffing vendors. UMC
	204	+	added $400,000.00 to meet staffing needs, as it continued to examine whether additional
	205	+	vendors, including any CBEs, could provide this service. Despite best efforts, UMC was
	206	+	not able to procure other supplemental respiratory therapist staffing vendors due to regional
	207	+	and national staffing demand and because the hospital will be winding- down operations.
	208	+	Thus, UMC needed to enter into Modification #6, for an additional $900.000.00 to ensure
	209	+	nurse staffing was available for respiratory therapy services through Amergis.
	210	+
	211	+	(L) The reason for the proposed change:
	212	+
	213	+	See Response to K
	214	+
	215	+	(M) The legal, regulatory, or contractual authority for the proposed change:
	216	+
	217	+	NFPHC Contracting Authority; NFPHC Establishment Act; Home Rule Act.
	218	+
	219	+	(N) A summary of the subcontracting plan required under section 2346 of the Small,
	220	+	Local, and Disadvantaged Business Enterprise Development and Assistance Act of
	221	+	2005, as amended, D.C. Official Code § 2- 218.01 et seq . (“Act”), including a
	222	+	certification that the subcontracting plan meets the minimum requirements of the Act
	223	+	and the dollar volume of the portion of the contract to be subcontracted, expressed
	224	+	both in total dollars and as a percentage of the total contract amount:
	225	+
	226	+	UMC has worked diligently with DC Department of Small and Local Business
	227	+	Development (DSLBD) to find local Vendors to provide these services. There wasn’t a 4
	228	+	Certified Business Enterprise (CBE) that provides Respiratory Therapist . There was no
	229	+	subcontracting plan due the critical need and highly specialized nature of the services to be
	230	+	provided under this proposed Contract, so a subcontracting plan and waiver were not
	231	+	obtained before the contract execution. (Per DSLBD, once a contract is exercised, a waiver
	232	+	cannot be provided). Even though the winding down process has begun, t he hospital
	233	+	continues to use best efforts to create and maintain opportunities for small, local, and
	234	+	disadvantaged businesses at UMC across all areas of the hospital.
	235	+
	236	+	(O) Performance standards and the expected outcome of the proposed contract:
	237	+
	238	+	The Contractor's performance will be monitored by the Not-for-Profit Hospital Corporation
	239	+	CEO and Vice President of Operations. The performance standards are as outlined in the
	240	+	proposed Contract and as required by applicable local, federal, industry, and licensing
	241	+	entities.
	242	+
	243	+	(P) The amount and date of any expenditure of funds by the District pursuant to the
	244	+	contract prior to its submission to the Council for approval:
	245	+
	246	+	The amount of funds expended under the Contract prior to submission is $1,345,705.00
	247	+
	248	+	(Q) A certification that the proposed contract is within the appropriated budget authority
	249	+	for the agency for the fiscal year and is consistent with the financial plan and budget
	250	+	adopted in accordance with D.C. Official Code §§ 47- 392.01 and 47- 392.02:
	251	+
	252	+	See enclosed fiscal certification from the OCFO.
	253	+
	254	+	(R) A certification that the contract is legally sufficient, including whether the proposed
	255	+	contractor has any pending legal claims against the District:
	256	+
	257	+	See enclosed legal certification from UMC Counsel.
	258	+
	259	+	(S) A certification that Citywide Clean Hands database indicates that the proposed
	260	+	contractor is current with its District taxes. If the Citywide Clean Hands Database
	261	+	indicates that the proposed contractor is not current with its District taxes, either: (1) a
	262	+	certification that the contractor has worked out and is current with a payment
	263	+	schedule approved by the District; or (2) a certification that the contractor will be
	264	+	current with its District taxes after the District recovers any outstanding debt as
	265	+	provided under D.C. Official Code § 2-353.01(b):
	266	+
	267	+	See enclosed Clean Hands Certification.
	268	+
	269	+	(T) A certification from the proposed contractor that it is current with its federal taxes, or
	270	+	has worked out and is current with a payment schedule approved by the federal
	271	+	government:
	272	+
	273	+	The proposed contractor has certified its compliance.
	274	+
	275	+	(U) The status of the proposed contractor as a certified local, small, or disadvantaged
	276	+	business enterprise as defined in the Small, Local, and Disadvantaged Business 5
	277	+	Enterprise Development and Assistance Act of 2005, as amended, D.C. Official Code §
	278	+	2-218.01 et seq .:
	279	+
	280	+	The Contractor is not certified as a local, small, or disadvantaged business enterprise.
	281	+
	282	+	(V) Other aspects of the proposed contract that the Chief Procurement Officer considers
	283	+	significant:
	284	+
	285	+	All relevant aspects of the proposed Contract are enclosed.
	286	+
	287	+	(W) A statement indicating whether the proposed contractor is currently debarred from
	288	+	providing services or goods to the District or federal government, the dates of the
	289	+	debarment, and the reasons for debarment:
	290	+
	291	+	As of August 20, 2024, the Contractor does not appear on the District or Federal Excluded
	292	+	Parties List.
	293	+
	294	+	(X) Any determination and findings issues relating to the contract’s formation, including
	295	+	any determination and findings made under D.C. Official Code § 2-352.05
	296	+	(privatization contracts):
	297	+
	298	+	None.
	299	+
	300	+	(Y) Where the contract, and any amendments or modifications, if executed, will be made
	301	+	available online:
	302	+
	303	+	Due the hospital’s pending closure, there will be no additional updates to the website;
	304	+	however, all contracts remain available onsite.
	305	+
	306	+	(Z) Where the original solicitation, and any amendments or modifications, will be made
	307	+	available online:
	308	+
	309	+	Due the hospital’s pending closure, there will be no additional updates to the website;
	310	+	however, all contracts remain available onsite.
	311	+	1101 4
	312	+	th
	313	+	Street, SW
	314	+	Washington, DC 20024
	315	+	Date of Notice:September 10, 2024 L0012540062Notice Number:
	316	+	FEIN: -*6157
	317	+	Case ID: 16506204
	318	+
	319	+	Government of the District of Columbia
	320	+	Office of the Chief Financial Officer
	321	+	Office of Tax and Revenue
	322	+	AMERGIS HEALTHCARE STAFFING INC.
	323	+	7223 LEE DEFOREST DR
	324	+	COLUMBIA MD 21046-3236
	325	+
	326	+	Branch Chief, Collection and Enforcement Administration
	327	+	Authorized By Melinda Jenkins
	328	+	To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
	329	+	“Validate a Certificate of Clean Hands” hyperlink under the Clean Hands section.
	330	+	CERTIFICATE OF CLEAN HANDS
	331	+	As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
	332	+	liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
	333	+	Services. As of the date above, the individual/entity has complied with DC Code § 47-2862, therefore
	334	+	this Certificate of Clean Hands is issued.
	335	+	TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
	336	+	CHAPTER 28 GENERAL LICENSE
	337	+	SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
	338	+	D.C. CODE § 47-2862 (2006)
	339	+	§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
	340	+	1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
	341	+
	342	+
	343	+	COPY Government of the District of Columbia
	344	+	Office of the Chief Financial Officer
	345	+
	346	+	MEMORANDUM
	347	+	To: Jacqueline Payne-Borden, Chief Executive Officer
	348	+
	349	+	From: Lilian Chukwuma, CFO – Not-for-Profit Hospital Corporation
	350	+
	351	+	Date: September 24, 2024
	352	+
	353	+	Re: Modification Nos. 4, 5, and 6 to Contract NFPHC-MS-22-C-00043 between Not-for-
	354	+	Profit Hospital Corporation and Amergis Healthcare Staffing Inc. Approval and
	355	+	Payment Authorization Emergency Act of 2024
	356	+
	357	+
	358	+	The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with Amergis
	359	+	Healthcare Staffing Inc for the provision of respiratory therapist staffing services.
	360	+	Modification #4 and #5 of the Contract for a total amount of $900,000.00 for the period from
	361	+	October 11, 2023 to October 10, 2024. Proposed Modification #6 of the Contract would add the
	362	+	needed funds for a total value of $9 00,000.00, revising the total dollar amount for twelve
	363	+	months to $1,800,000.00.
	364	+
	365	+	The Office of the Chief Financial Officer hereby certifies that the funds are included in the NFPHC FY 2024 and FY 2025 budgets
	366	+	••UMC
	367	+	UNITED
	368	+	MEDICAL CENnll
	369	+	MEMORANDUM
	370	+	To: Jacqueline Payne-Borden
	371	+	Chief Executive Officer
	372	+	From: Eric Goulet
	373	+	� rJ 4J.J----
	374	+	General Counsel / '
	375	+	Reference: Modification Nos. 4, 5, and 6 to Contract No. NFPHC-MS-22-C-00043
	376	+	Date:
	377	+	between Not-for-Profit Hos
	378	+	pital Corporation an d Amergis Hea lthcare
	379	+	Staffing I
	380	+	nc. Approval and Payment Aut horization Emergency
	381	+
	382	+	Act of2024
	383	+	September 1
	384	+	3, 2024
	385	+	Subject: Legal Sufficiency
	386	+	I have reviewed the above-referenced Contract No. NFPHC-MS-22-C-00043
	387	+	Modifications 4, 5, and 6 between the Not-for-Profit Hospital Corporation, commonly
	388	+	known as United Medical Center ("Hospital"), and Amergis Healthcare Staffing Inc., for
	389	+	the provision of supplemental respiratory therapist staffmg services.
	390	+	I hereby certify that it appears to be legally sufficient. Please be advised that my fmding
	391	+	is premised on the Contract being submitted to and approved by the Council of the
	392	+	District of Columbia.
	393	+	1310 SOUTHERN A VENUE, SE WASHINGTON, n_c_ 20032-4623 • 202-574-6000 •WWW.UNITED-MEDICALCENTERCOM NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as
	394	+	United Medical Center, an instrumentality of the District of Columbia
	395	+	government, hereinafter known as the “Hospital”.
	396	+	CONTRACT MODIFICATION/ CHANGE ORDER
	397	+	Page
	398	+	1
	399	+	of 1
	400	+	NFPHC-MS-22-C-00043
	401	+	2.Address (Send invoices here) 3a. Effective Date: 4. Requisition/Purchase Order/Task Order/Modification Number:
	402	+	Not-For-Profit Hospital Corporation
	403	+	United Medical Center – Accounts Payable
	404	+	1310 Southern Avenue, S.E.
	405	+	Washington, D.C. 20032
	406	+	See Box 13
	407	+	Modification #6
	408	+	3b. Date of Council
	409	+	Approval: TBD
	410	+	5.Department(s) Using Goods or Services: Respiratory Department, Nursing
	411	+	6.Contractor: name; address; phone number and email
	412	+	Amergis Healthcare Staffing
	413	+	Inc. (form erly know as
	414	+	Maxim Healthcare Staffing Services, Inc.)
	415	+	962
	416	+	Wayne Avenue, Suite 600
	417	+	Silver Spring, MD 20910
	418	+	7. Subject:
	419	+	Modification to add additional funds for supplemental Respiratory
	420	+	Therapists Staffing. The term for this agreement is from October 11,
	421	+	2023 to October 10, 2024.
	422	+	8. Exercise of
	423	+	Option
	424	+	Change Order
	425	+	X
	426	+	Supplemental
	427	+	Agreement
	428	+	Letter Contract/
	429	+	Contract Extension
	430	+	Other:
	431	+	9. Modification/Change Order Amount: $900,000.00 10. Total Contract Amount: $1,800,000.00
	432	+	11.Modification to increase NTE amount for the remainder of the contract for the provision of supplemental Respiratory Therapists through
	433	+	10/10/2024, in accordance with the following rates: *
	434	+	UNIT RATES NOT-TO-EXCEED AMOUNT
	435	+	ED $
	436	+	95.00 per hour
	437	+	$1,
	438	+	800,000.00
	439	+	ICU $
	440	+	92.00 per hour
	441	+	MS/T $88.00 per hour
	442	+	RT $
	443	+	85.00 per hour
	444	+	* All terms of the Contract shall remain in full force and effect.
	445	+	12.Name of Contractor:
	446	+	Signature: _____ ____________________________
	447	+	Date: 13.Signature of Contracting Officer: Kendrick Dandridge,
	448	+	Contracting Officer
	449	+	Signature: _____ ______________________________
	450	+	Date:
	451	+	14. GENERAL COUNSEL – LEGAL SUFFICIENCY
	452	+	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
	453	+	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
	454	+	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
	455	+	Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of 2014 (PRO-731)), which
	456	+	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
	457	+	2015 Budget Support Emergency Act of 2014 (B20- 849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals
	458	+	for private sector takeover of the ownership and management of the United Medical Center.
	459	+	Legal Sufficiency: _________________________________________ Date: ________________
	460	+	Eric Goulet,
	461	+	NFPHC General Counsel
	462	+	15. CERTIFICATION OF FUNDS
	463	+	Signature: ___ _____________________________ Date: ____________
	464	+	Lilian Chukwuma, NFPHC CFO
	465	+	I hereby certify funds are sufficiently included in the District’s FY 2024 budget and
	466	+	financial plan to support this Contract.
	467	+	FOR INTERNAL PURPOSES ONLY
	468	+	OCFO REVIEW APPROVAL : ________: NFPHC Budget Officer CEO REVIEW APPROVAL : _______: NFPHC Chief Executive Officer
	469	+	X Connor McGough, Assistant Controller 05/07/2024 DocuSign Envelope ID: 91FA2179-3C1E-4FAA-B568-0390503C458B
	470	+	5/9/2024 DocuSign Envelope ID: AC18E499-822B-4A73-809E-CC0D8EEC9A63
	471	+	5/28/2024
	472	+	5/28/2024
59	473
60	474
61	475
	476	+	NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as
	477	+	United Medical Center,
	478	+	an instrumentality of the District of Columbia government, hereinafter
	479	+	known as the “Hospital”.
62	480
63	481
64		-	_________________________________
65		-	Mayor
66		-	District of Columbia
	482	+	CONTRACT MODIFICATION/ CHANGE
	483	+	ORDER
	484	+	Page of Pages
	485	+
	486	+	1 of 1
	487	+	NFPHC-MS-22-C-00043
	488	+	2. Address (Send invoices here) 3a. Effective Date: 4. Requisition/Purchase Order/Task Order/Modification Number:
	489	+	Not-For-Profit Hospital Corporation
	490	+	United Medical Center – Accounts Payable
	491	+	1310 Southern Avenue, S.E.
	492	+	Washington, D.C. 20032
	493	+	See Box 13
	494	+	Modification #5
	495	+	3b. Date of Council
	496	+	Approval: N/A
	497	+
	498	+	5. Department(s) Using Goods or Services: Respiratory Department, Nursing
	499	+	6. Contractor: name; address; phone number and email address
	500	+	Maxim Healthcare Staffing Services, Inc.
	501	+	962 Wayne Avenue, Suite 600
	502	+	Silver Spring, MD 20910
	503	+
	504	+	7. Subject:
	505	+
	506	+	Modification to add additional funds for supplemental Respiratory Therapists
	507	+	Staffing. The term for this agreement is from October 11, 2023 to October 10, 2024 .
	508	+
	509	+	8. Exercise of
	510	+	Option
	511	+	Change Order
	512	+	X
	513	+	Supplemental
	514	+	Agreement
	515	+	Letter Contract/
	516	+	Contract Extension
	517	+
	518	+
	519	+	Other:
	520	+	9. Modification/Change Order Amount: $400,000.00 10. Total Contract Amount: $900,000.00
	521	+
	522	+
	523	+	11. Modification to increase NTE amount for the remainder of the contract for the provision of supplemental Respiratory Therapists through
	524	+	10/10/2024, in accordance with the following rates: *
	525	+
	526	+	UNIT RATES NOT-TO-EXCEED AMOUNT
	527	+	ED $138.00 per hour
	528	+	$900,000.00 ICU $135.00 per hour
	529	+	MS/T $115.00 per hour
	530	+	RT $110.00 per hour
	531	+
	532	+	* All terms of the Contract shall remain in full force and effect.
	533	+	12. Name of Contractor:
	534	+
	535	+	Signature: _________________________________
	536	+
	537	+	Date: 13. Signature of Contracting Officer: Kendrick Dandridge,
	538	+	Contracting Officer
	539	+
	540	+	Signature: ___________________________________
	541	+
	542	+	Date:
	543	+	14. GENERAL COUNSEL – LEGAL SUFFICIENCY
	544	+
	545	+	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
	546	+	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
	547	+	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
	548	+	Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of 2014 (PRO- 731)), which
	549	+	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
	550	+	2015 Budget Support Emergency Act of 2014 (B20-849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals
	551	+	for private sector takeover of the ownership and management of the United Medical Center.
67	552
68	553
69	554
	555	+	Legal Sufficiency: ______________________________________ Date: __________________
70	556
	557	+
	558	+	15. CERTIFICATION OF FUNDS
	559	+
	560	+	Signature: ____________________________________ Date: ________
	561	+	Lilian Chukwuma, NFPHC CFO
	562	+
	563	+	I hereby certify funds are sufficiently included in the District’s FY 2024 budget and
	564	+	financial plan to support this Contract.
	565	+
	566	+	FOR INTERNAL PURPOSES ONLY
	567	+
	568	+	OCFO REVIEW APPROVAL: : NFPHC Budget Officer
	569	+
	570	+	CEO REVIEW APPROVAL: _________: NFPHC Chief Executive Officer
	571	+	03/19/24 DocuSign Envelope ID: 39167997-CF9F-4204-ABB6-0231CA45D57A
	572	+	3/19/2024
	573	+	3/21/2024
	574	+	3/22/2024
	575	+	4/24/2024 DocuSign Envelope ID: 91FA2179-3C1E-4FAA-B568-0390503C458B DocuSign Envelope ID: AC18E499-822B-4A73-809E-CC0D8EEC9A63
	576	+
	577	+
	578	+
	579	+	NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as
	580	+	United Medical Center,
	581	+	an instrumentality of the District of Columbia government, hereinafter
	582	+	known as the “Hospital”.
	583	+
	584	+
	585	+	CONTRACT MODIFICATION/ CHANGE
	586	+	ORDER
	587	+	Page of Pages
	588	+
	589	+	1 of 1
	590	+	NFPHC-MS-22-C-00043
	591	+	2. Address (Send invoices here) 3a. Effective Date: 4. Requisition/Purchase Order/Task Order/Modification Number:
	592	+	Not-For-Profit Hospital Corporation
	593	+	United Medical Center – Accounts Payable
	594	+	1310 Southern Avenue, S.E.
	595	+	Washington, D.C. 20032
	596	+	10/11/2023
	597	+	Modification #4
	598	+	3b. Date of Council
	599	+	Approval: N/A
	600	+
	601	+	5. Department(s) Using Goods or Services: Respiratory Department, Nursing
	602	+	6. Contractor: name; address; phone number and email address
	603	+	Maxim Healthcare Staffing Services, Inc.
	604	+	962 Wayne Avenue, Suite 600
	605	+	Silver Spring, MD 20910
	606	+
	607	+	7. Subject:
	608	+
	609	+	Modification to extend the provision of supplemental Respiratory Therapists Staffing
	610	+	for an additional twelve (12) month period from October 11, 2023 to October 10,
	611	+	2024.
	612	+
	613	+	8. Exercise of
	614	+	Option X
	615	+	Change Order
	616	+
	617	+	Supplemental
	618	+	Agreement
	619	+	Letter Contract/
	620	+	Contract Extension
	621	+
	622	+
	623	+	Other:
	624	+	9. Modification/Change Order Amount: $500,000.00 10. Total Contract Amount: $500,000.00
	625	+
	626	+
	627	+	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: *
	628	+
	629	+	UNIT RATES NOT-TO-EXCEED AMOUNT
	630	+	ED $138.00 per hour
	631	+	$500,000.00 ICU $135.00 per hour
	632	+	MS/T $115.00 per hour
	633	+	RT $110.00 per hour
	634	+
	635	+	* All terms of the Contract shall remain in full force and effect.
	636	+	12. Name of Contractor:
	637	+	Signature: _________________________________
	638	+
	639	+	Date: 13. Signature of Contracting Officer: Kendrick Dandridge,
	640	+	Contracting Officer
	641	+	Signature: ___________________________________
	642	+
	643	+	Date:
	644	+	14. GENERAL COUNSEL – LEGAL SUFFICIENCY
	645	+
	646	+	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
	647	+	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
	648	+	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
	649	+	Councilmembers introduced the Sense of the Council Not-for-Profit Hospital Corporation Transformation and Sustainability Resolution of 2014 (PRO-731)), which
	650	+	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
	651	+	2015 Budget Support Emergency Act of 2014 (B20- 849), which required the Hospital move forward expeditiously with improving UMC operations and soliciting proposals
	652	+	for private sector takeover of the ownership and management of the United Medical Center.
	653	+
	654	+	Legal Sufficiency: ___________________________ ___________ Date: __________________
	655	+
	656	+
	657	+	15. CERTIFICATION OF FUNDS
	658	+
	659	+	Signature: ____________________________________ Date: ________
	660	+	Lilian Chukwuma, NFPHC CFO
	661	+
	662	+	I hereby certify funds are sufficiently included in the District’s FY 2024 budget and
	663	+	financial plan to support this Contract.
	664	+
	665	+	FOR INTERNAL PURPOSES ONLY
	666	+
	667	+	OCFO REVIEW APPROVAL: : NFPHC Budget Officer
	668	+
	669	+	CEO REVIEW APPROVAL: _________: NFPHC Chief Executive Officer
	670	+	10/20/2023 DocuSign Envelope ID: 72DC49A9-55AA-4A4C-8DF7-9D89BFBB95AD
	671	+	10/23/2023
	672	+	10/24/2023
	673	+	10/24/2023
	674	+	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