Amendment+Z_Netsmart+Technologies+_Signed.pdf

CONTRACT #050-10253

AMENDMENT Z

AMENDMENT TO ELECTRONIC HEALTH RECORD TECHNOLOGY CONTRACT

On or about November 30, 2015, the State of North Dakota, acting through its Department of Health and Human Services (STATE), and Netsmart Technologies, Inc., a Delaware corporation, having its principal place of business at 4950 College Boulevard, Overland Park, Kansas 66211 (CONTRACTOR) entered into a Contract to provide, install, configure, integrate, and test a certified electronic health record (EHR) commercial off- the-shelf software solution.

Whereas, section 42, Unanticipated Amendments of the Contract gives the authority to add additional work and cost within the current Scope of Work; therefore, the Contract is amended as follows:

The parties agree that certain parts of that Contract and Amendments A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, and Y should be changed:

1. Section 3.a., Contractual Amount, is hereby amended by removing $22,743,064.90 and replacing it with $26,287,028.47.

2. Section 5., Term of Contract. The Contract commenced on November 30, 2015, and will end on March 30, 2024. All Renewal Options and the Extension Option have been exhausted. The parties have agreed to renegotiate the Contract for an additional 15 months; therefore, the Contract is amended to change the expiration date to June 30, 2025.

3. Schedule A, Revised Compensation Details, is amended to add the following:

NON PROJECT ONGOING SOFTWARE LICENSE, MAINTENANCE SERVICES OR BOTH

Description Time Period Dollar Amount Due Date

Netsmart Managed Hosting

Year Nine, April 1, 2024 - June 30, 2025 $1,060,602.13 4/1/2024

Orchard Labs Application and Interface Support

Year Nine, April 1, 2024 - June 30, 2025 $36,750.49 4/1/2024

Avatar to Therap Interface Support and Maintenance

Year Nine, April 1, 2024 - June 30, 2025 $11,286.85 4/1/2024 myAvatar Suite Maintenance

Year Nine, April 1, 2024 - June 30, 2025 $308,761.64 4/1/2024 myAvatar RADPlus Maintenance

Year Nine, April 1, 2024 - June 30, 2025 $458,591.99 4/1/2024

On-Going Annual Subscription Software (SaaS)

Year Nine, subscriptions for the following based on the description and cost values included in the referenced table from this Schedule:

• myLearningPointe - LMS Premier - 100 Named Users

• Primary Care (IntegratedCare POV) - 40 Named Prescribers

• myPOV Suite (DashboardPOV, ObserverPOV, VitalsPOV, RxPOV) - 22 Named Devices

• CareConnect HIE per Prescriber Subscription Fee

• Care Guidance/Clinical Quality Metrics – Benchmarking - - 40 Named Devices

• myHealthPointe.kiosk – Quantity 15

• KPI Dashboards

• Direct Message Mailbox-CareConnect

• myHealthPointe 2.0 Enterprise SaaS

• Ultimedex Suite Subscription

• Diagnosis Content on Demand Subscription

• ProviderConnect (Up to 750 Providers)

• CareConnect HIE Per Prescriber Subscription Fee - 40 Named Prescribers

• CareConnect Inbox

• Diagnosis Search

• Speech Recognition Powered by M*Modal

• RevConnect Claims Management – 20 NPIs

• OrderConnect EPCS

• OrderConnect - FULL SUITE - Prescriber Subscription

• OrderConnect Full Suite (Sub) - Amd O

• OrderConnect Inpatient Non-Prescriber (Sub) - Amd O

• CarePOV Medical Note Psychiatry (Sub) - Amd O

• Telehealth (Sub) – 1,000 hours/month

• Quarterly Support - AIMS Information Technology

$1,552,196.37 4/1/2024

• CareConnect Lab Orders (Outbound) (SaaS)

• CareConnect Lab Results (Inbound) (SaaS)

• Bells.ai – 400 Named Users

• AMA CPT Code Subscription – 1,250 Named Users

RxScan Year Nine, Varies by subscription (see table of subscription start dates above)

$17,336.59 4/1/2024 myAvatar Enhancement Support Services

Year Nine, April 1, 2024 - June 30, 2025 (218.75 hours) $98,437.501 4/1/2024

$3,543,963.57

1- The STATE shall purchase and utilize no less than 87.5 hours per quarter for technical assistance from the CONTRACTOR related to the STATE’s enhancement of myAvatar before the expiration of this contract in the following manner:

a. All hours must be consumed within the 15-month term.

b. All myAvatar Enhancement Support Services hours require prior approval from the STATE’s Electronic Health Record

Business Lead or designee.

All other terms of the Contract remain as previously written and in full force and effect.

This Contract Amendment is not effective until fully executed by all parties.

EXECUTION

CONTRACTOR NAME

Netsmart Technologies, Inc.

ADDRESS

4950 College Boulevard, Overland Park, KS, 66211

PRINTED NAME:

SIGNATURE

TITLE

DATE

STATE OF NORTH DAKOTA acting through its Department of Health and Human Services

ADDRESS

600 E Boulevard Ave, Dept. 325, Bismarck, ND 58505-0250

PRINTED NAME: Sara Stolt

TITLE: Deputy Commissioner

Joseph McGovern

Executive Vice President

4/16/2024

04/19/2024 https://adobecancelledaccountschannel.na2.documents.adobe.com/verifier?tx=CBJCHBCAABAAAGTHAon7nbqbGqiFSsT5bymZcmFeHDk5

STATE OF NORTH DAKOTA acting through its

Information Technology Department

ADDRESS

4201 Normandy St., Bismarck, ND 58503

PRINTED NAME: Greg Hoffman

TITLE: Deputy Chief Information Officer

04/18/2024 https://na2.documents.adobe.com/verifier?tx=CBJCHBCAABAAXMo7BAJMF5JP_WZzf1EDetcPZVhXxHk5 https://na2.documents.adobe.com/verifier?tx=CBJCHBCAABAAXMo7BAJMF5JP_WZzf1EDetcPZVhXxHk5

050-10253Z Netsmart Technologies Amendment (Final) Final Audit Report 2024-04-18

Created: 2024-04-18

By: Doran Eberle (deberle@nd.gov)

Status: Signed

Transaction ID: CBJCHBCAABAAXMo7BAJMF5JP_WZzf1EDetcPZVhXxHk5

"050-10253Z Netsmart Technologies Amendment (Final)" Histor y

Document created by Doran Eberle (deberle@nd.gov)

2024-04-18 - 3:50:12 PM GMT

Document emailed to Greg Hoffman (gahoffman@nd.gov) for signature

2024-04-18 - 3:53:06 PM GMT

Email viewed by Greg Hoffman (gahoffman@nd.gov)

2024-04-18 - 6:08:25 PM GMT

Document e-signed by Greg Hoffman (gahoffman@nd.gov) Signature Date: 2024-04-18 - 6:08:35 PM GMT - Time Source: server

Agreement completed.

2024-04-18 - 6:08:35 PM GMT

050-10253Z Netsmart Technologies Amendment (Final) - signed Final Audit Report 2024-04-19

Created: 2024-04-19

By: Kyle Nelson (kylnelson@nd.gov)

Status: Signed

Transaction ID: CBJCHBCAABAAAGTHAon7nbqbGqiFSsT5bymZcmFeHDk5

"050-10253Z Netsmart Technologies Amendment (Final) - signe d" History

Document created by Kyle Nelson (kylnelson@nd.gov)

2024-04-19 - 1:32:44 PM GMT

Document emailed to Sara Stolt (sarastolt@nd.gov) for signature

2024-04-19 - 1:33:11 PM GMT

Email viewed by Sara Stolt (sarastolt@nd.gov)

2024-04-19 - 3:24:24 PM GMT

Document e-signed by Sara Stolt (sarastolt@nd.gov) Signature Date: 2024-04-19 - 3:24:31 PM GMT - Time Source: server

Agreement completed.

2024-04-19 - 3:24:31 PM GMT