e°eoUMC
uuatse
November6,2024
TheHonorablePhilMendelson
Chairman,CounciloftheDistrictofColumbia
JohnA.WilsonBuilding
1350PennsylvaniaAvenue,N.W.
Suite504
Washington,DC20004
DearChairmanMendelson:
EnclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiais
“ModificationNos.13and14toContractNo.NFPHC-NSD-21-C-00027betweenNot-for-
ProfitHospitalCorporationandAmergisHealthcareStaffingInc.ApprovalandPayment
AuthorizationEmergencyActof2024”,and“ModificationNos.13and14toContractNFPHC-
NSD-21-C-00027betweentheNot-for-ProfitHospitalCorporationandAmergisHealthcare
StaffingInc.ApprovalandPaymentAuthorizationEmergencyDeclarationResolutionof2024”,
fortheprovisionofnursestaffingservicespertainingtoemergencydepartment,intensivecare
unit,andtelemetryservices(“Contract”).
‘CouncilactionisnecessarytoapproveproposedModification#13totheOptionYear3
($6,000,000;December10,2023—December9,2024)becausewhencombinedwiththeprevious
CouncilapprovedModification12toexerciseOptionYear3ofthiscontract($3,000,000;
December10,2023~December9,2024:A25-401),thetotalretroactivevaluefortheOption
Year3wouldbe$9,000,000.CouneilactionisalsonecessarytoapproveproposedModification
#14,whichseekstofullyexerciseOptionYear4for$3,200,000fortheperiod,December10,
2024throughMarch31,2025.InrecentyearsUMChasseencostsincreasefornursestaffingdue
tocompetingnationalandregionalpersonnelneeds,sothecontractwasfurthermodifiedto
addresstheseexpenses.Further,withthewindingdownandclosureofthehospital,ithasbeen
increasinglydifficulttohirenursingpersonnel,andthusUMChasneededtorelymoreon
staffingagenciestomaintainrequiredstaffinglevels.Councilapprovalremainsvitaltoavoid
disruptiontotheseessentialservices.Note:AmergisHealthcareStaffingInc.wasformerly
MaximHealthcareStaffingServicesInc.
Asalways,amavailabletodiscussanyquestionsyoumayhaveregardingthissubmittal.In
ordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactmeat
(202)574-6611.[lookforwardtoafavorableconsiderationonthiscontract
Sincerely,
woe Roave-Qadir
\quelin¢Payne-Borden
ChiefExecutiveOfficer
Not-for-ProfitHospitalCorporation
Enclosure
41910SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-674-6000+WWWUNITED-MEDICALCENTER.COM 1
2 airman Phil Mendelson
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. 13 and 14 to Contract NFPHC-
20 NSD-21-C-00027 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 nurse
23 staffing services pertaining to emergency department, intensive care unit, and
24 telemetry services ("Contract"), and
to authorize payment for the services
25 received and to be received under the Contract.
26
27 BE IT ENACTED BY THE COUNCIL
OF THE DISTRICT OF COLUMBIA,
28 That this act may be cited as the "Modification Nos. 13 and 14 to Contract NFPHC-NSD-
29 21-C-00027 between Not-for-Profit Hospital Corporation and Amergis Healthcare
30 Staffing Inc. Approval and Payment Authorization Emergency Act of 2024".
31 Sec. 2. Pursuant to section 451 of the District of Columbia Home Rule Act,
32 approved December 24, 1973 (87 Stat. 803; D.C. Official Code§ 1-204.51), and
33 notwithstanding the requirements of section 202 of the Procurement Practices Reform
34 Act
of 2010, effective April 8, 2011 (D.C. Law 18-371; D. C. Official Code§ 2-352.02),
35 the Council approves Modification Nos. 13 and 14 to Contract NFPHC-NSD-21-C-00027
36 between the Not-for-Profit Hospital Corporation and Amergis Healthcare Staffing Inc. 2
for the provision of nurse staffing services pertaining to emergency department, intensive 37
care unit, and telemetry services, and authorizes payments for the services received and 38
to be received under this Contract in the amount of $6,000,000.00 for the revised Option 39
Year 3, and $3,200,000.00 to partially exercise Option Year 4 . 40
Sec. 3. Fiscal impact statement. 41
The Council adopts the fiscal impact statement of the Chief Financial Officer as 42
the fiscal impact statement required by section 4a of the General Legislative Procedures 43
Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-44
301.47a). 45
Sec. 4. Effective date. 46
This act shall take effect following approval by the Mayor (or in the event of veto 47
by the Mayor, action by the Council to override the veto), and shall remain in effect for 48
no longer than 90 days, as provided for emergency acts of the Council of the District of 49
Columbia in section 412(a) of the District of Columbia Home Rule Act, approved 50
December 24, 1973 (87 Stat. 788; D.C. Official Code § 1- 204.12(a)). 51
52 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: NFPHC -NSD-21-C-00027
Proposed Contractor:
Amergis Healthcare Staffing Inc. (formerly Maxim Healthcare)
Contract Amount: Option Year 3 (December 10, 2023 – December 9, 2024)
- Mod 12 $3,000,000 A25 -401
- Proposed Mod 13 $6,000,000
- Rev Total $9,000,000
Partial OY4 ( December 10, 2024– March 31, 2025)
- Proposed Mod 14 $3,200,000
Unit and Method of Compensation: Monthly with proper invoices
Term of Contracts: Proposed Mod 13: 12/10/23 – 12/09/24 (retroactive)
Proposed Mod 14: 12/10 /24 – 3/31/25 (prospective)
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: $300,000.00 (December 10, 2020 to December 9, 2021)
o Modification #1: $600,000.00 (December 10, 2020 to December 9, 2021) 2
o Modification #2: $2,600,000.00 (December 10, 2020 to December 9, 2021) [Revised
total Base Year retroactive value to $3,500,000.00. Council Approval: A24-115 on June
29, 2021]
o Modifications #3 & #4: No fiscal impact
- Option Year 1:
o Modification #5: $143,835.62 (December 10, 2021 to December 24, 2021)
o Modification #6: $1,726,027.40 (December 25, 2021 to 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) [R evised 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 (December 10, 2022 to February, 7, 2023)
o Modification #11: $2,500,000.00 (February 8, 2023 – December 9, 2023) [Revised the
Option Year 2 retroactive value to $3,425,000.00. Council Approval: A25-0127 on June
6, 2023]
-Option Year 3:
o Modification #12: $ 3,000,000.00 (December 10, 2023 to December 9, 2024) [Council
Approval: A25 -401 on Jan uary 30, 2024]
o Proposed Modification #13: $6,000,000.00 (December 10, 2023 to December 9, 2024) [If approved, Proposed Modification #13 will revise the Option Year 3 retroactive value to $9,000,000]
-Option Year 4
o Proposed Modification #14: $3,200,000.00 (December 10, 2024 to March 31,2025)
(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 3
period from December 10, 2023 to December 9, 2024 for Modification 13 and December 10, 2024
to March 31, 2025 for Modification 14.
(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 3 and option year 4 w ere sole sourced under 27 DCMR 4618 after several attempts to
find less costly alternatives. See Response to K
(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. I nclude 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 c ontractor, 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 contrac t:
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:
Proposed Modification # 13 (December 10, 2023 to December 9, 2024) will be effective on
December 10, 2023, should Council approve the Contract.
Proposed Modification # 14 (December 10, 2024 to March 31, 2025) w ill be effective on December
10,2024, should Council approve the Contract.
(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:
Value of work performed pursuant to Proposed Modification #13 to OY3: $3,508,499.86
Value of work performed pursuant to Proposed Modification # 14 to OY4: N/A
4
(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 P roposed Modification #13 change is $6,000,000.00. The aggregate
value of the of Proposed Modification #14 is $ 3,200,000.00.
(J) The date on which the contracting officer was notified of the proposed change:
September 20, 2024
(K) The reason why the proposed change was sent to Council for approval after it is intended to
take effect:
UMC submitted the Council approved initial renewal for Option Year 3 (Modification #12) with
Amergis (formerly Maxim Healthcare Staffing Services, Inc.) at only $3,000,000.00 to explore
potential savings options for the hospital through contracting with other Nursing staffing vendors.
However, UMC has not able to procure other supplemental nursing 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 #13, for an additional $6,000,000.00 for Option Y ear 3 and
$3,200,000.00 for Option Y ear 4 to ensure nurse staffing was available for nursing 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 Certified Business
Enterprise (CBE) that provides Nursing staffing. 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.
5
(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 of funds pursuant to Proposed Modification #13 to Option Year 3: $4,776,350.25
Expenditure of funds pursuant to Proposed Modification #14 for Option Year 4: N/A
(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 .:
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: 6
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 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 to the hospital’s pending closure, the website will not undergo further upgrades; however, the
contract remains available onsite.
(Z) Where the original solicitation, and any amendments or modifications, will be made available
online:
Due to the hospital’s pending closure, the website will not undergo further upgrades; however, the
contract remains 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
T
o: Jacqueline Payne-Borden, Chief E xecutive O fficer
From: Lilian Chukwuma, CFO – Not-for
-Profit Hospital C orporation
Date:
November 6, 2024
Re:
Modification Nos. 13 and 14 to Contract NFPHC- NSD-21-C-00027 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 nurse staffing services pertaining to emergency department,
intensive care unit, and telemetry services. Modification 12 of the Contract for a total amount
of $3,000,000.00 for the period from
December 10, 2023 – December 9, 2024. Proposed
Modification #13 of the Contract would add the needed funds for a total value of
$6,000,000.00, revising the total dollar amount for twelve months to $9,000,000.00.
The p roposed Modification #14 to fully executed Option Year 4 in the amount of
$3,200,000.00 for the period December 09 , 2024 through March 31, 2025.
The Office of the Chief Financial Officer hereby certifies that the funds are included in the
NFPHC FY 2024 and FY 2025 budgets ApeUMS
Nivencorres
MEMORANDUM
To: JacquelinePayne-Borden
ChiefExecutiveOfficer
From:EricGoulet:G-LAS
GeneralCounsel
Reference:ModificationNos.13and14toContractNo.NFPHC-NSD-21-C-00027
ModificationbetweenNot-for-ProfitHospitalCorporationandAmergis,
HealthcareStaffingInc.ApprovalandPaymentAuthorizationEmergency
‘Actof2024
Date: November6,2024
Subject:LegalSufficiency
Thavereviewedtheabove-referencedContractNo.NFPHC-NSD-21-C-00027
Modifications13and14betweentheNot-for-ProfitHospitalCorporation,commonly
knownasUnitedMedicalCenter(“Hospital”),andAmergisHealthcareStaffingInc.,for
theprovisionofnursestaffingservicespertainingtoemergencydepartment,intensive
careunit,andtelemetryservices.
Therebycertifythatitappearstobelegallysufficient.Pleasebeadvisedthatmyfinding
ispremisedontheContractbeingsubmittedtoandapprovedbytheCouncilofthe
DistrictofColumbia.
1310SOUTHERNAVENUE,SEWASHINGTON,D.C.20032-4623+202-574-6000+WWW.UNITED-MEDICALCENTER.COM 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) 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
12/10/2023
Modification #12
3
b. Date of Council
Ap
proval:
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:
M
odification t o exer
Year T hree (OY3) for the provision of
suppl
emental s ta
ffing in nursing s pecifically i n t he ICU and ER D epartment.
The term
of this agreement shall be from December 10, 2023 to
December 09, 2024.
8. Exercise of
Option
X
Change Order Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $3,000,000.00 10.Total Contract Amount: $3,000,000.00
11.Modification to exercise Option Year Three (OY3) for the provision of nurses, in accordance with the following rates:
Unit Rates
ED $98.00
ICU $95.00
MS/T $90.00
RT $88.00
*All other terms and conditions of the contract shall remain the same.
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 11/22/23 Bryant Moshang, Controller DocuSign Envelope ID: D392C634-8FF0-4EF9-AE51-9C392AE71F22
11/22/2023 DocuSign Envelope ID: 58A02336-D11D-48BF-B26D-4E5A3E81E38B
11/27/2023
11/27/2023
2/7/2024 Docusign Envelope ID: 6DBFCACB-63D0-4DB8-9A5E-F6A627F3D360 Docusign Envelope ID: 8CEC5D0A-33C9-44AA-B197-CF4F352E2F1C 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) 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
12/10/2023
Modification #13
3b.
Date of Council
Approval:
TBD
5.Department(s) Using Goods or Services: Nursing Department
6. Contractor: name; address; phone number and email address
Amergis Healthcare Staffing Inc. (formerly known as Maxim Healthcare
Staffing Services, Inc.)
962 Wayne Avenue, Suite 600
Silver Spring, MD 20910
7.Subject:
Mo
dification/Change Order add additional funding to Option Year Three
(OY3) for the provision of supplemental s taffing i n nursing specifically i n
the ICU
and ER Department. The term of this agreement shall be
from effective date to December 09, 2024.
8. Exercise of
Option
Change Order
X
Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $6,000,000.00 10. Total Contract Amount: $9,000,000.00
11.
Modification to add additional funds to current contract for the provision of services, in accordance with the
following rates:
Unit Rate Per Hour
ED $95.00
ICU $92.00
MS/T $88.00
RT $85.00
*All other terms and conditions of the contract shall remain the same.
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 S ufficiency: _________________________________________ 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 and FY2025
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 Docusign Envelope ID: 6DBFCACB-63D0-4DB8-9A5E-F6A627F3D360
16-Sep-24 Docusign Envelope ID: 8CEC5D0A-33C9-44AA-B197-CF4F352E2F1C
9/18/2024
9/25/2024
10/9/2024 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
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: 12/10/2024
Modification #14
3b.
Date of Council
Approval: TBD
5.Department(s) Using Goods or Services: Nursing Department
6. Contractor: name; address; phone number and email address
Amergis Healthcare Staffing Inc. (f/k/a Maxim Healthcare Staffing
Services, Inc.)
962 Wayne Avenue, Suite 600
Silver Spring, MD 20910
7.
Subject:
Modification
to partially exercise Option Year Four (OY4) for
the
p
rovision of supplemental staffing in nursing specifically in the ICU and ER
Department. The term of this modification shall be from December 10
,
2024 to March 31, 2025..
8. Exercise of
Option
X
Change Order Supplemental
Agreement
Letter Contract/
Contract Extension
Other:
9. Modification/Change Order Amount: $3,200,000.00 10. Total Contract Amount: $3,200,000.00
11. Modification
to partially exercise the next option year for continued provision of services from 12/10/2024 to 03/31/2025, in accordance with the
following rates:
Unit Rate per hour
ED $95.00
ICU $92.00
MS/T $88.00
RT $
85.00
*All other terms and conditions of the contract shall remain the same.
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 Su fficiency: ___________________________________ ______ 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 2025 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 10/14/2024 Assistant Controller Connor McGough, Docusign Envelope ID: 9492F586-F50D-4214-A84C-8A66FC5C0371
10/14/2024
10/15/2024
10/15/2024