April 26, 2023 Dear Chairman Mendelson: 1310SOUTHERN AVENUE. SE WASHINGTON. D.C. 20032-4623 • 202-574-6000 WWW.UNITED-MEDICALCENTER.COM The Honorable Phil Mendelson Chairman, Council of the District of Columbia John A. Wilson Building 1350 Pennsylvania Avenue, N.W. Suite 504 Washington, DC 20004 Council action is necessary to approve the December 7,2022, fully exercised Option Year 3 Modification 7 (in the amount of $800,000.00 and a period of October 31, 2022 to October 30,2023) and Proposed Modification 8 (in the amount of $800,000.00 and a period of October 31, 2022 to October 30, 2023) because when combined, the total retroactive contract value of Option Year 3 would be $1,600,000.00 for the 12-month period, October 31, 2022 to October 30, 2023. Continued approval is vital to avoiding a major disruption in these services. The unfortunate retroactivity, which as discussed during recent oversight hearings, is due to constantly increasing nurse agency costs, extended time needed to negotiate financial terms, nationwide industry shortages, and the pending wind down. As always, I am available to discuss any questions you may have regarding this submittal. In order to facilitate a response to any questions you may have, please have your staff contact me at (202) 574-6611.1 look forward to a favorable consideration on this contract. Enclosed for consideration and approval by the Council of the District of Columbia is Contract No. NFPHCNUR-19-C-003 Modifications 7 and 8 between the Not-for-Profit Hospital Corporation and Contemporary Nursing Solutions Inc., Approval and Payment Authorization Emergency Act of 2023, and Contract No. NFPHCNUR-1 9-C-003 Modifications 7 and 8 between the Not-for-Profit Hospital Corporation and Contemporary Nursing Solutions Inc. Approval and Payment Authorization Emergency Declaration Resolution of2023, for the provision for specialty and non-specialty temporary assignment nurses. Sincerely, Jacqueline Payne-Borden Chief Executive Officer Not-for-Profit Hospital Corporation Enclosures UNITED ' MXDiCAl CIKTU A RESOLUTION IN THE COUNCIL OF THE DISTRICT OF COLUMBIA RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this resolution may be cited as the “Contract No. NFPHCNUR-19-C-003 Modifications 728 and 8 between the Not-for-profit Hospital Corporation and Contemporary Nursing29 Solutions Inc. Approval and Payment Authorization Emergency Declaration Resolution30 of 2023”.31 Sec. 2. (a) There exists an immediate need to approve Contract No.32 NFPHCNUR-19-C-003 Modifications 7 and 8 (“Contract”) between the Not-for-Profit33 Hospital Corporation (“Hospital”) and Contemporary Nursing Solutions, Inc. for the34 provision for specialty and non-specialty temporary assignment nurses, and to authorize35 payment for the services received and to be received under this Contract.36 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 .22 23 24 25 26 27 Chairman Phil Mendelson at the request of the Not-for- Profit Hospital Corporation 1 To declare the existence of an emergency with respect to the need to approve Contract No. NFPHCNUR-19-C-003 Modifications 7 and 8 between the Not-for-Profit Hospital Corporation, commonly known as United Medical Center (“Hospital”), and Contemporary Nursing Solutions Inc., for the provision for specialty and non specialty temporary assignment nurses, and to authorize payment for the services received and to be received under the Contract. (b) UMC determined that exercising Option Year 3 of the Contract was necessary37 i' due to the ongoing need for specialty and non-specialty temporary assignment nurses.38 The Option Year 3 Modification #7 had a value of $800,000.00 for the period of October39 31, 2022 through October 30, 2023, and was fully executed on December 7, 2022.40 (c) Proposed Modification #8 for an additional $800,000.00 and a period of41 42 43 the period of October 31, 2022 - October 30, 2023, and would have an aggregate value44 45 (d) Without this approval, Contemporary Nursing Solutions Inc. cannot be paid46 for these critical services provided and to be provided in excess of $999,999.99.47 Sec. 3. The Council determines that the circumstances enumerated in section 248 constitute emergency circumstances making it necessary that Contract No. NFPHCNUR-49 50 51 52 Sec. 4. This resolution shall take effect immediately.53 2 that exceeds $1 million in a 12-month period; therefore, Council approval is necessary. i October 30, 2022 through October 30, 2023, is necessary to allow continued use of this Contract. If approved, the combined value of Option Year 3 would be $1,600,000.00 for 19-C-003 Modifications 7 and 8 between the Not-for-Profit Hospital Corporation and \ Contemporary Nursing Solutions Inc. Approval and Payment Authorization Emergency Act of 2023, be adopted after a single reading.