September 20, 2021
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
Dear Chairman Mendelson:
Enclosed for consideration and approval by the Council of the District of Columbia is
Contract No. NFPHC-2018-435-A Modification 5 between the Not-for-Profit Hospital
Corporation and GW Medical Faculty Associates, Inc. for the provision of emergency
department services for the Not-for-Profit Hospital Corporation (Contract).
Council action is necessary to approve the proposed Contract in the amount of
$8,565,524.00 for the period that begins on October 1, 2021 and ends September 30, 2022.
The base period of the contract was approved on July 10, 2018 for $4,407,762.00 (A22-
0432). Modification 1 was approved on November 13, 2018 for $4,407,762.00 (A22-
0524). Modification 2 was approved on May 7, 2019 for $4,407,762.00 (A23-0054).
Modification 3 was approved on October 8, 2019 for $8,815,524.00 (A23-0148).
Modification 4 was approved on August 28, 2020 for $8,815,524.00 (CA 23-661).
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. I look forward to a favorable consideration on this contract.
Sincerely,
Marcela Maamari
Chief Contracting Officer
Not-for-Profit Hospital Corporation
Enclosure
1310 SOUTHERN AVENUE, SE WASHINGTON, D.C. 20032-4623 202-574-6000 WWW.UNITED-MEDICALCENTER.COM
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Options)
(A) Contract Number: NFPHC-2018-435-A Modification 5
Proposed Contractor: GW Medical Faculty Associates, Inc.
Contract Amount (Option Amount): $8,565,524.00
Term of Contract: One year; October 1, 2021 September 30, 2022
Type of Contract: Fixed fee, with monthly reconciliation
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
FY 18 Portion Base Period Amount: $4,407,762.00 [Council approved July 10, 2018, A22-0432]
Mod 1
FY 19 Portion Base Period Amount: $4,407,762.00 [Council approved November 13, 2018,
A22-0524]
Mod 2
FY 19 Portion Option Period 1 Amount: $4,407,762.00 [Council approved May 7, 2019, A23-
0054]
Mod 3
FY 20 Portion Option Period 1 Amount: $ 4,407,762.00
FY 20 Portion Option Period 2 Amount: $4,407,762.00
[Council approved October 8, 2019, A23-0148]
Mod 4
FY 21 Amount: $ 8,815,524.00
[Council approved August 28, 2020; CA 23-661]
1
(C) A statement 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):
The Citywide Clean Hands report indicates the contractor is current with its District taxes.
(D) A statement 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:
The Chief Financial Officer for the Hospital has reviewed the proposed contract and has provided
certification of funds.
 '(8784458 474)
*845858! )*87 001034564788496
*8+,-.8(88 549113
 4848 6848870910 48 87111010
/"#0!01+2066*#0+"6# !"#$$%$$$111
0314"6250#005"  8#31
066#'+*11%10

789:;<;7=:8?<7@8=AB=ACD
0 78748-458)86 -E489458(8788788--(- )F844E5 44-
))4EG45458 474) *8+,-.8(88745887484")E84
687(8H0 458-48(89458-(- )F844E5 )8-G45-8I3%J94587878
45 87448)86 - 8-H
+#+"3H+0K0+#*9#"6#'94"./#+69066"66/"+690!""6
604+".J'"".0#"6"
61L604+".##H"0606L"!*.".""#5#'0#"6"*.4"./#+
HH*"I3%JM11N
I3%J4.*6#L#+#*0'0#6+#6610"*!#"6"*.4"./#+
0 457O8-LE/ 707
589))84( 
+()-4845 874489)8 8( 4/E+,HH(H*458/E+,5889)P458
Q5 )-4887448)86 -R5E87)P-87458)86 -84H
SSTSUVWDVXYYVDZ[D\]VYZ^_T[Z`aW]bcVdb[C7^TT^UefWdbYgh^T^i_^UjkTUkelm:`noC7ocdp

 Government of the District of Columbia
Office of the Chief Financial Officer
MEMORANDUM
To: Marcela Maamari, Chief Contracting Officer
From: Lilian Chukwuma, CFO Not-for-Profit Hospital Corporation
Date: September 20, 2021
Re: Contract No. NFPHC-2018-435-A Modification 5 between the Not-for-Profit Hospital
Corporation and GW Medical Faculty Associates, Inc.
The Not-for-Profit Hospital Corporation (NFPHC) intends to contract with GW Medical
Faculty Associates, Inc. for the provision of emergency department services. Modification 5
seeks to exercise Option Year 4 of the Contract for $8,565,524.00 covering a twelve-month
period (October 1, 2021 to September 30, 2022).
The Office of the Chief Financial Officer hereby certifies that the funds are included in the
NFPHC FY 2022 approved budget.
NOT-FOR-PROFIT HOSPITAL CORPORATION
MEMORANDUM
To: Marcela Maamari
Chief Contracting Officer
From: Megan K. Dhillon
Outside Counsel to UMC
Reference: Contract No. NFPHC-2018-435-A Modification 5 between the Not-for-
Profit Hospital Corporation and GW Medical Faculty Associates, Inc.
Date: September 17, 2021
Subject: Legal Sufficiency
I have reviewed the above-referenced Contract No. NFPHC-2018-435-A Modification 5
between the Not-for-Profit Hospital Corporation and GW Medical Faculty Associates,
Inc. for the provision of emergency department services.
I hereby certify that it appears to be legally sufficient. Please be advised that my finding
is premised on the Contract being submitted to and approved by the Council of the
District of Columbia.
1310 SOUTHERN AVENUE, SE WASHINGTON, D.C. 20032-4623 202-574-6000 WWW.UNITED-MEDICALCENTER.COM
DocuSign Envelope ID: 66033D3D-74CC-4125-A636-6F751FFFA5AA
NOT-FOR-PROFIT HOSPITAL CORPORATION, commonly known as CONTRACT MODIFICATION/ CHANGE Page of Pages
United Medical Center, ORDER 1 through 2
an instrumentality of the District of Columbia government, hereinafter
known as the Hospital. NFPHC-2018-435-A
2. Address (Send invoices here) 3a. Effective Date: 4. Requisition/Purchase Order/Task Order/Modification Number:
Not-For-Profit Hospital Corporation October 1, 2021
United Medical Center Accounts Payable 3b. Date of Council MODIFICATION 5
1310 Southern Avenue, S.E. Approval:
Washington, D.C. 20032 (October 1, 2021 September 30, 2022)
5. Department(s) Using Goods or Services: CEO and CMO
6. Contractor: name; address; phone number and email address 7. Subject:
Medical Faculty Associates, Inc. This Modification 5 seeks to exercise the forth Option Year
2150 Pennsylvania Avenue NW for providing Emergency Department Services at the Hospital
Washington, DC 20037 from October 1, 2021 to September 30, 2022.
ATTN: Benjamin J. Riestra, Chief Operating Officer
Office: 202-677-6717
8. Exercise of Change Order Supplemental Letter Contract/ Other:
x
Option Agreement Contract Extension
9. Modification/Change Order Amount: $8,565,524.00 10. Total Contract Amount: $8,565,524.00
CCO Initials: ________
The parties hereby agree to exercise this Modification 5 to this certain Contract for Fiscal Year 2022 as follows:
a. Section I, Part A as follows:
OPTION YEAR 4 (October 1, 2021 September 30, 2022)
Contract Line Item Description Monthly Annual Not-to-
No. (CLIN) Amount Exceed Amount
0001 Primary Provider Costs $713,793.66 $8,565,524.00
-11.0 Physicians; 11.5 Mid-levels; 3.0 additional
staff. Refer to Exhibit B for adjustments if
staffing is different.
TOTAL AMOUNT $8,565,524.00
b. All other terms and conditions of the Contract shall remain in full force and effect.
12. Name of Contractor: Date: 13. Signature of Contracting Officer: Marcela Maamari, Date:
Chief Contracting Officer
Signature: _________________________________ 09/17/2021
Benjamin J.Riestra, COO Signature: ___________________________________
Medical Faculty Associates, Inc.
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: ________________________________________ 9/17/2021
Date: ________________
Megan K. Dhillon, NFPHC Outside Counsel
DocuSign Envelope ID: 66033D3D-74CC-4125-A636-6F751FFFA5AA
MEDICAL FACULTY ASSOCIATES, INC. - MOD 5 CONTRACT # NFPHC-2018-435-A/ Page 2
15. CERTIFICATION OF FUNDS I hereby certify funds are sufficiently included in the Districts FY 2022 budget and
9/17/2021 financial plan to support this Contract.
Signature: ______________________________ Date: _____________
Lilian Chukwuma, NFPHC CFO
FOR INTERNAL PURPOSES ONLY
OCFO - REVIEW APPROVAL: COO REVIEW APPROVAL:
_____: NFPHC Budget Officer ___________: NFPHC Chief Operating Officer