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-2018-436-A Modification 5 between the Not-for-Profit Hospital Corporation and GW Medical Faculty Associates, Inc. for the provision of inpatient hospitalist services for the Not-for-Profit Hospital Corporation (Contract). Council action is necessary to approve the proposed Contract in the amount of $6,456,906.96 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 $1,614,223.00 (CA22- 0433). Modification 1 was approved on November 13, 2018 for $4,842,684.00 (A22- 0523). Modification 2 was approved on July 9, 2019 for $1,614,223.00 (A23-0102). Modification 3 was approved on October 8, 2019 for $6,456,907.00 (A23-0149). Modification 4 was approved on August 28, 2020 for $6,456,906.00 (CA 23-662). 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-2018-436-A Modification 5 Proposed Contractor: GW Medical Faculty Associates, Inc. Contract Amount (Option Amount): $6,456,906.96 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: $ 1,614,223.00 (3 months) [Council approved July 10, 2018, CA22-0433] Mod 1 FY 19 Portion Amount: $ 4,842,684.00 (9 months) [Council approved November 13, 2018, A22- 0523] Mod 2 FY 19 Portion Option Period 1 Amount: $ 1,614,223.00 (3 months) [Council approved July 9, 2019, A23-0102] Mod 3 FY 20 Portion Option Period 1 Amount: $ 4,842,684.00 (9 months) FY 20 Portion Option Period 2 Amount: $ 1,614,223.00 (3 months) [Council approved October 8, 2019, A23-0149] Mod 4 FY 21 Period Amount: $6,456,906.00 (12 months) [Council approved on August 28, 2020, CA 23-662] 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-2018-436-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 inpatient hospitalists services. Modification 5 seeks to exercise Option Year 4 of the Contract for $6,456,906.96 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-2018-436-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-2018-436-A Modification 5 between the Not-for-Profit Hospital Corporation and GW Medical Faculty Associates, Inc. for the provision of inpatient hospitalists 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: 24FD1AF8-76D7-45D8-9788-F75B57C3E274 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-2018-436-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 inpatient Hospitalists 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: $6,456,906.96 10. Total Contract Amount: $6,456,906.96 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 $538,075.58 $6,456,906.96 8.0 Physicians - Days; 2.0 Physicians Nights; 6 Mid-levels; 3.5 additional staff. Refer to Exhibit B for adjustments if staffing is different. TOTAL AMOUNT $6,456,906.96 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. 9/17/2021 Legal Sufficiency: ________________________________________ Date: ________________ Megan K. Dhillon, NFPHC Outside Counsel DocuSign Envelope ID: 24FD1AF8-76D7-45D8-9788-F75B57C3E274 MEDICAL FACULTY ASSOCIATES, INC. - MOD 5 CONTRACT # NFPHC-2018-436-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 DocuSign Envelope ID: 24FD1AF8-76D7-45D8-9788-F75B57C3E274 &d 7` <[aa X^0r p &bX<  oN ; m J$ " r >Ei13 (  De !'B  x3j  R  0{fHW           '( +QZ  .   l" S`5?< C' $  T9V &57I[k  )4 +yICex41 & &"&&!& & && 9,{)! |Z8 "' l =!j gLF+ }TV6)2 $%& &  & # & &  & q * , 1 kD ##v. 8   - f)    ?  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