DOC1523649048.pdf

Procure-to-Pay 3835 Holdrege Street | Lincoln, NE 68583-0742 | 402.472.2126 nebraska.edu/p2p

University of Nebraska Contract Summary

CONTRACTOR/COMPANY INFORMATION

Supplier Name

CARLE FOUNDATION HOSP SCHOOL OF CYTOTECHNOLOGY

Contact Information

Darcy Henness, darcy.henness@carle.com

REQUESTING DEPARTMENT

Participating Campuses

UNMC

Department Contact

Patricia O'Neil, paoneil@unmc.edu

CONTRACT DESCRIPTION/INFORMATION

Contract Title University of Nebraska Contract Workspace Template Contract Summary (brief description and / or event name)

This is a clinical placement location agreement (formerly "satellite site" agreement) for the CAHP Diagnostic Cytology program. Students receive didactic instruction through distance education technologies at their accepted clinical placement location. A portion of trainee tuition and lab fees are remitted back to the site. The estimated amount to be remitted to the site each year is $10,000-$20,000 based on the number of students (usually 1-3 per year).

Purchase Category Training Services Commodity 86 Current Contract Amount

$30,000 USD Total Contract Amount

$49,999.99

Start Date 08/01/2025

End Date 07/31/2028

Renewals Zero

COMPETITION REVIEW

Bid Number N/A Competitive Review Findings

Under 50k

Additional Contract Information

N/A

INTERNAL USE ONLY

CW28684

DIAGNOSTIC CYTOLOGY EDUCATION AGREEMENT

Board of Regents of the University of Nebraska

University of Nebraska Medical Center Omaha, Nebraska

And Carle Foundation Hospital

THIS AGREEMENT (“Agreement”) made and entered into as of the date of the last signature affixed hereto, is by and between The Board of Regents of the University of Nebraska, a public body corporate and governing body of the University of Nebraska, for and on behalf of the University of Nebraska Medical Center (hereinafter “UNMC”) for the College of Allied Health Professions, having an address at 984000 Nebraska Medical Center, Omaha, NE 68198 and Carle Foundation Hospital, an Illinois not-for-profit corporation, located at 611 W. Park Street, Urbana, Illinois 61801 (hereinafter “CFH”).

WHEREAS, CFH desires to provide cytology education to its employees (“Students / Trainees”); and

WHEREAS, UNMC through its College of Allied Health Professions (“CAHP”) offers a Master of Diagnostic Cytology degree (the “Program”); and

WHEREAS, it is in the interest of CFH and UNMC to facilitate the education and training of cytologists by entering into this Agreement.

NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, CFH and UNMC hereby agree as follows:

I. RESPONSIBILITIES OF THE PARTIES:

A. UNMC shall:

1. Be accredited by an appropriate accrediting body and be authorized to confer the Master of Diagnostic Cytology Degree.

2. Participate in the selection of individuals for the Program and review the individuals’ academic credentials prior to admission into the Program to confirm such individuals meet the academic requirements for admission to the Program.

3. Admit qualified applicants to the Program and require their compliance with all

UNMC policies and procedures including, but not limited to, maintaining current immunizations in accordance with UNMC student immunization requirements, completion of standard background check (Exhibit B), and completion of all standard compliance training such as HIPAA.

4. Provide on-site visits as appropriate to observe and review curriculum, teaching methods, and course content provided by CFH to students/trainees.

5. Upon submission to the UNMC of required materials, provide the clinical placement coordinator (“coordinator”) at CFH and each pathologist involved in teaching with the appropriate level adjunct faculty appointment in the CAHP.

6. Throughout the term of the Agreement, provide didactic curriculum materials, lectures, study guides, supportive learning materials, audiovisual materials and cytology computer software (“Materials”) for the education of students/trainees at CFH. UNMC and/or its faculty members, as applicable, shall retain ownership of all Materials and CFH will not use, license or permit Materials to be used for any purpose outside of teaching the Program.

7. Coordinate the delivery of the didactic curriculum to include live lectures, class activities, group discussions and daily expectations for clinical practice.

8. Provide adjunct faculty and students/trainees with access to the UNMC learning management system as instructors and students/trainees, as well as an Outlook username and password.

9. Award students/trainees who have successfully completed the Program with a Master of Diagnostic Cytology degree

B. CFH shall:

1. Provide for the overall administration of the Program at CFH.

2. Employ an American Society of Clinical Pathology certified cytologist as the coordinator who will coordinate the schedule of lectures and practicum experiences for the students/trainees at CFH and facilitate the completion of courses contracted from UNMC.

3. The coordinator, in consultation with Program faculty, will participate in teaching clinical components of the curriculum and evaluate trainees to verify achievement of minimum competencies and requirements to complete the Program.

4. Provide support for student recruitment and participate in student selection in accordance with all UNMC and Program admission requirements.

5. Provide access to emergency health care for students/trainees at CFH. The students/trainees will be responsible for any costs related to health coverage and medical care expenses.

6. Provide facilities, on-site supervision, microscopes, clinical specimens and supplies required for clinical learning experiences of the students/trainees at CFH.

7. Have the right to refuse student(s) placement based on ability to provide preceptor or space/volume issues with the department of placement at CFH.

8. Require students/trainees to display personal identification (name badges and photo identification) when on premises.

9. Require students/trainees and adjunct faculty to attend appropriate orientation as deemed necessary and provided by UNMC.

10. Require students/trainees and adjunct faculty to adhere to all policies and regulations of UNMC and CFH, including observation of confidentiality for patients and employees and compliance with HIPAA, as amended and in accordance with all applicable federal, state and local statutes, regulations and policies regarding the privacy of patient health information.

11. Remove any student/trainee if they fail to meet standards for health safety or ethical behavior. Notify the UNMC Diagnostic Cytology Program Director of such removal.

Any problems will be resolved in favor of the patient's welfare.

12. Instruct students/trainees in Universal Precautions as defined by the Centers for Disease Control and Prevention (“CDC”) and have Occupational Safety and Health Administration (“OSHA”) in-service documentation. These records will be provided to UNMC upon request.

C. Financial Arrangements:

1. UNMC will notify CFH of tuition to be paid by participating students/trainees on an annual basis, to be completed by July 1 of each year of the term.

2. Students/trainees enrolled in the Program will remit tuition and student fees to UNMC in accordance with all UNMC policies and billing schedules. UNMC will remit a portion of the tuition, less applicable administrative and accreditation fees, and Program lab fees as outlined in Exhibit A back to CFH. UNMC will retain 100% of any tuition and fees not identified in Exhibit A.

3. Students/trainees enrolled in the Program are responsible for their own tuition, healthcare expenses, housing, transportation and living expenses and making arrangements therefore.

D. Term; Termination:

1. The term of this Agreement shall commence on August 1, 2025, and shall continue for three (3) years, ending on July 31, 2028, unless earlier terminated as provided herein.

2. After the expiration of this Agreement as set forth above, the Agreement may be renewed for four (4) additional terms of one (1) year each upon written agreement of both parties signed by an authorized representative of each party.

3. It is understood and agreed that the parties hereto may revise or modify this Agreement by written amendments, signed by authorized representatives of each party, whenever the same shall be mutually agreed upon.

4. This Agreement may be terminated with or without cause, upon either party giving sixty (60) days’ prior written notice to the other party. Reasonable steps shall be taken, when possible, to allow for the completion of the contract year. Any students/trainees enrolled in the program at the time of such termination notice shall be given the opportunity by CFH to complete the requirements of the Program as offered at the time of their entry and in compliance with the terms of this Agreement. In the event of a material breach of this Agreement by either party, the Agreement may be terminated immediately if such breach is not cured within thirty (30) days of written notification of the alleged breach.

II. MUTUAL RESPONSIBILITIES:

1. Both parties agree to comply with applicable federal and state laws, including but not limited to the Family Educational Rights and Privacy Act of 1974 (“FERPA”) regarding the use and disclosure of student education records, Americans with Disabilities Act of 1990 (“ADA”), and Title IX of the Education Amendments of 1972 (“Title IX”). When a party receives information, knows, or should know of possible sexual misconduct related to any Student covered under this Agreement, the party must promptly and effectively respond to the allegations. Unless prohibited by law, the parties agree to cooperate in good faith to coordinate efforts when responding to allegations of sexual misconduct involving any Student who is participating in the Program. Depending on the circumstances, such response may include, but is not limited to, providing interim measures, providing information related to resources and support, conducting an investigation, adjudicating the claim, and/or implementing sanctions. When coordinating, the parties will work together to determine ways to proceed and the best way to obtain information about the facts and circumstances giving rise to the complaint or notice of alleged sexual misconduct, which, by way of example only, may mean that the institution where the alleged misconduct occurred leads the investigation, with the assistance of the other party.

2. The parties shall maintain and safeguard the privacy, security, and confidentiality of all individually identifiable health information transmitted or received in connection with this Agreement, in accordance with the applicable provisions of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, and in accordance with all applicable federal, state and local statutes, regulations and policies regarding the confidentiality of patient health information

3. Neither party shall discriminate against any Student on the basis of race, color, religion or creed, national origin or ancestry, sex (including gender, pregnancy, sexual orientation, and gender identity), age, disability, veteran status, genetic information, citizenship, in accordance with applicable state and federal law.

4. By signing this Agreement both parties represent and warrant that they have not been excluded from participation in any federal government programs. UNMC and CFH further agree that, in the event that either is excluded from federal programs, each will advise the other of such fact within fifteen (15) days of obtaining such knowledge and that said exclusion constitutes grounds for immediate termination of this Agreement.

5. In the event that a student fails to follow CFH policies, procedures and/or protocols, UNMC shall be notified. UNMC and CFH will work together to create a corrective action plan that may lead to removal of the student from CFH.

III. MISCELLANEOUS:

1. This Agreement shall be interpreted in accordance with and pursuant to the laws of the State of Nebraska without regard to its conflicts of laws principles. UNMC does not waive its governmental immunity by entering into this Agreement and fully retains all immunities and defenses by law with regard to action based on this Agreement.

2. No agency, partnership or joint venture is created by this Agreement and the parties affirmatively disclaim any intent to form such relationship. Neither party has the authority to bind the other.

3. The terms of this Agreement are severable. If any term or provision is declared by a court of competent jurisdiction to be illegal, void or unenforceable, the remainder of the provisions shall continue to be valid and enforceable.

4. A waiver of any term or provision of this Agreement by one party shall not be deemed to be a waiver of such provision on any subsequent breach of the same or any other provision contained in this Agreement. Any such waiver must be in writing in order to be effective and no such waiver(s) shall serve to establish a course of performance between the parties contradictory to the terms hereof.

5. This Agreement constitutes the entire agreement between UNMC and CFH with respect to the subject matter contained herein and may not be amended except by an agreement signed by authorized representatives of the parties.

6. This Agreement may be executed in counterparts, including by electronically scanned or email signatures, each of which shall be an original and which together shall constitute a single agreement.

Signature Page to Follow

For the Board of Regents of the Carle Foundation Hospital University of Nebraska

Michael Hrncirik, CPA, MAcc Name Assistant Vice Chancellor for Business & Title

Finance and Controller University of Nebraska Medical Center

Date: __________________________ Date: ________________________

Acknowledged by:

Patricia O’Neil, MPA Associate Dean for Business & Finance College of Allied Health Professions

Date: __________________________

03/18/25 | 15:08 CDT

04/03/25 | 15:18 PDT

SVP Diagnostic Services

04/04/25 | 07:58 CDT

EXHIBIT A

FINANCIAL ARRANGEMENTS

ACADEMIC YEAR 2024-25**

Students/trainees enrolled in the Program will remit tuition and student fees to the University in accordance with all University policies and billing schedules. The University will remit a portion of the tuition, less applicable administrative and accreditation fees, and Program student fees as outlined below back CFH.

The University will retain 100% of any tuition and fees not identified herein.

Program Tuition Total tuition per student for the Master of Diagnostic Cytology program (16 months): $26,900*

• Year 1: $18,830

• Year 2: $8,070

Thirty percent (30%) of paid tuition less applicable administrative and accreditation fees will be distributed to CFH for services provided.

*The tuition may change each year; CFH will be notified each summer of the new rate, if applicable.

Program Student Fees Students/trainees located at CFH are subject to all University student fees as approved annually by the University of Nebraska Board of Regents (e.g., library, technology, insurance, etc.).

Student fees for the Master of Diagnostic Cytology program (16 months): $10,465*

• Year 1: $7,345

• Year 2: $3,120

*All fees are subject to change annually; CFH will be notified each summer of fee changes, if applicable.

Textbooks Students/trainees are responsible for purchasing their own textbooks.

Administrative Fee Schedule Year 1 8% of billed tuition Year 2 4% of billed tuition Year 3 2% of billed tuition Year 4 and thereafter not applicable*

*The administrative fee is no longer applied since CFH has had at least one new student/trainee in the program for three consecutive or alternate years. The fee schedule will restart at Year 1 if at least one new student/trainee is not enrolled during three consecutive or alternate years in the future.

Accreditation Fee: $350/year (Fall semester only)

Program Student Fees Remitted Back to CFH:

Fall Year 1 $166/student Spring Year 1 $135/student Summer Year 1 $310/student Fall Year 2 $160/student

TOTAL $771

**Exhibit A will be updated in July of each year when new tuition rates and fees are released.

Exhibit B

BACKGROUND CHECK

UNMC requires background checks on all newly admitted students and reserves the right to rescind an offer of admission or progression or to place monitoring requirements on any individual whose background investigation reveals a history of criminal conduct, as defined in the UNMC Background Check Policy, which may be accessed at the link below.

https://www.unmc.edu/studentservices/_documents/background-check-policy100313.pdf

The CAHP specifies that One Source carry out this initial background check. The report provided by One Source includes the following background verification and investigation services:

• Social Security Trace

• County Criminal – Statewide (if available)

• Nationwide Criminal

• National Sex Offender Registry

• Federal Criminal Search

• Global Report

• Office of Inspector General (OIG) Department of Health & Human Services

• System for Award Management (SAM)

• NE Department of Health & Human Services Adult & Child Abuse & Neglect

Registry 1.0 https://www.unmc.edu/studentservices/_documents/background-check-policy100313.pdf

CYTOTECHNOLOGY EDUCATION AGREEMENT

Board of Regents of University of Nebraska

University of Nebraska Medical Center

Omaha, Nebraska

And Carle Foundation Hospital, Urbana, IL

THIS CYTOTECHNOLOGY EDUCATION AGREEMENT (“Agreement”) made and entered into 8/1/2022 is by and between the Board of Regents of the University of Nebraska, a corporate public body, by and on behalf of the University of Nebraska Medical Center, 984000, Nebraska Medical Center, Omaha, NE 68198-4000 (hereinafter “UNMC”), and Carle Foundation

Hospital, an Illinois not-for-profit corporation, located at 611 W. Park Street, Urbana, Illinois

61801 (hereinafter “CFH”)

WHEREAS, UNMC through its College of Allied Health Professions (“CAHP”) offers a

Master of Diagnostic Cytology Degree beginning with the academic year 2022-2023, WHEREAS, CFH desires to provide education to its employees; and

WHEREAS, it is in the interest of both parties to enter into this Agreement to facilitate the education and training of Cytology professionals.

NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, CFH and UNMC hereby agree as follows:

I. RESPONSIBILITIES OF THE PARTIES:

A. UNMC shall:

1. Be accredited by an appropriate accrediting body and be authorized to confer the

Master of Diagnostic Cytology degree.

2. Participate in the selection of individuals for the Program and review the individuals’ academic credentials prior to admission into the Program to confirm such individuals meet the academic requirements for admission to the Program.

3. Admit qualified applicants to the UNMC Program and require their compliance with all UNMC policies and procedures including but not limited to maintaining current immunizations in accordance with UNMC student immunization requirements, completion of standard background check, and completion of all standard compliance training such as HIPAA.

4. Provide on-site visits as appropriate to observe and review curriculum, teaching methods, and course content provided by CFH to students/trainees.

5. Upon submission to UNMC of required materials, provide the CFH site coordinator and each pathologist involved in teaching with the appropriate level Adjunct Faculty appointment in the CAHP.

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

Permanent Satellite Site Contract – Updated 2021

6. Throughout the term of the Agreement, provide didactic curriculum materials, lectures, study guides, supportive learning materials, audiovisual materials and cytology computer software (“Materials”) for the education of students/trainees at

CFH. UNMC and/or its faculty members, as applicable, shall retain ownership of all

Materials and CFH will not use, license or permit Materials to be used for any purpose outside of teaching the Program.

7. Coordinate the delivery of the didactic curriculum to include live lectures, class activities, group discussions and daily expectations for clinical practice.

8. Provide adjunct faculty and students/trainees with access to the UNMC learning management system as instructors and students/trainees, as well as an Outlook username and password.

B. Carle Foundation Hospital shall:

1. Provide for the overall administration of the Program at CFH Site.

2. Employ an American Society of Clinical Pathology certified Cytotechnologist as the site coordinator who will coordinate the students’/trainees' schedule of lectures and practicum experiences at CFH and facilitate the completion of courses contracted from UNMC.

3. The site coordinator, in consultation with UNMC Program faculty, will participate in teaching lab components of the didactic curriculum, and evaluate trainees to verify achievement of minimum competencies and requirements to complete the Program.

4. Provide support for student recruitment and participate in student selection in accordance with all UNMC Program admission requirements.

5. Provide access to emergency health care for students/trainees at CFH. The students/trainees will be responsible for any costs related to health coverage and medical care expenses.

6. Provide facilities, on-site supervision, microscopes, computer equipment, clinical specimens, and supplies required for practicum learning experiences of the students/trainees at CFH.

7. Have the right to refuse student(s) placement based on ability to provide preceptor, or space/volume issues within the department of placement at the CFH.

8. Require students/trainees to display personal identification (name badges and photo identification) when on premises.

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

9. Require students/trainees and Adjunct Faculty to attend appropriate orientation as deemed necessary and provided by UNMC.

10. Require students/trainees and Adjunct Faculty to adhere to all policies and regulations of UNMC and CFH, including observation of confidentiality for patients and employees and in compliance with the Health Insurance Portability and Accountability

Act of 1966 (“HIPAA”), as amended and in accordance with all applicable federal, state and local statutes, regulations and policies regarding the privacy of patient health information.

11. Remove any student/trainee if he or she fails to meet standards for health safety or ethical behavior. Notify the UNMC Cytotechnology Program Director of such removal.

Any problems will be resolved in favor of the patient's welfare.

12. Instruct students/trainees in Universal Precautions as defined by the Centers for Disease

Control and Prevention (“CDC”) and have OSHA in-service documentation. These records will be provided to the UNMC upon request.

C. Financial Arrangements:

1. CFH and UNMC will negotiate the tuition to be paid by participating students/trainees on an annual basis, to be completed by July 1 of each year of the term.

2. Students/trainees enrolled in the Program will be billed and will remit negotiated tuition to UNMC in accordance with all University of Nebraska and UNMC policies and billing schedules. UNMC will remit a portion of the tuition, less applicable administrative and accreditation fees, as well as course fees to CFH as outlined in

Exhibit A. UNMC will retain 100% of any tuition and fees not identified in Exhibit A.

3. Students/trainees enrolled in the Program are responsible for their own tuition, health care expenses, housing, transportation, and living expenses and making arrangements therefore.

D. Term; Termination:

1. The term of this Agreement shall commence on August 1, 2022 and shall continue for three (3) years, ending on July 31, 2025 unless earlier terminated as provided herein.

Either party may terminate this Agreement upon sixty (60) days’ prior written notice.

Any students/trainees enrolled in the Program at the time such termination notice is given shall be given the opportunity to complete the requirements of the Program as offered at the time of their entry into the Program.

2. After the expiration of this Agreement as set forth above, the Agreement may be renewed for additional terms of one (1) year each upon the written agreement of both parties signed by an authorized representative of each party.

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

3. It is understood and agreed that the parties hereto may revise or modify this Agreement by written amendments, signed by authorized representatives of each party, whenever the same shall be mutually agreed upon.

4. This Agreement shall be interpreted in accordance with and pursuant to the laws of the

State of Nebraska without regard to its conflicts of laws principles. UNMC does not waive its governmental immunity by entering into this Agreement and fully retains all immunities and defenses afforded by law with regard to action based on this

Agreement.

5. This Agreement may be terminated with or without cause, upon either party giving sixty (60) days’ prior written notice to the other party. Reasonable steps shall be taken, when possible, to allow for the completion of the contract year. Any students/trainees enrolled in the program at the time of such termination notice shall be given the opportunity by CFH to complete the requirements of the Program as offered at the time of their entry and in compliance with the terms of this Agreement. In the event of a material breach of this Agreement by either party, the Agreement may be terminated immediately if such breach is not cured within thirty (30) days of written notification of the alleged breach.

II. MUTUAL RESPONSIBILITIES:

A. Both CFH and UNMC shall comply with applicable federal and state laws to include compliance with Americans with Disabilities Act of 1990.

B. Neither CFH nor UNMC shall discriminate against any employee, applicant, or student for employment or registration in the course of study because of race, age, color, disability, religion, sex, national or ethnic origin, marital status, genetic information, sexual orientation, political affiliation, special disabled veteran status, or Vietnam era veteran status. Sexual harassment in any form, including hostile work environment and quid pro quo, is prohibited.

C. Both parties agree to comply with the Family Educational Rights and Privacy Act of

1974 governing access to student records.

D. Each party shall obtain and maintain general commercial liability insurance, or self-insurance, against claims for bodily injury, death and property damage with limits of not less than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars

($3,000,000) in the general aggregate, to cover liabilities caused by or arising out of a party’s activities and those of its agents and employees while performing any of its obligations or services under this Agreement. In addition, each party shall obtain and maintain professional liability insurance, or self-insurance, in the amount of One Million

Dollars ($1,000,000) per occurrence and in the annual aggregate covering employees and students/trainees, as applicable.

E. Both parties shall maintain and safeguard the privacy, security, and confidentiality of all individually identifiable health information transmitted or received in connection with

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079 this Agreement, in accordance with HIPAA, as amended, and in accordance with all applicable federal, state and local statutes, regulations and policies regarding the confidentiality of patient health information. Students/trainees and Adjunct Faculty shall access, use and disclose protected health information only as permitted pursuant to law and shall be subject to sanction, including exclusion from the Program upon violation.

F. By signing this Agreement, both CFH and UNMC represent and warrant that they: (i) are not currently excluded, debarred or otherwise ineligible to participate in the federal healthcare programs as defined in 42 USC § 1320a-7b(f) (the “federal healthcare program”); or (ii) have not been convicted of a criminal offense related to the provision of healthcare items or services, but have not yet been excluded, debarred or otherwise declared ineligible to participate in any federal healthcare program. This shall be an ongoing representation and warranty during the terms of this Agreement and each party shall immediately notify the other party of any change in the status of the representation and warranty set forth in this section. If either party becomes excluded from federal healthcare program participation, this Agreement may be terminated immediately, for cause, by the other party. If any employee, agent or representative of either party becomes excluded from federal healthcare program participation, such individual shall be removed from participating in this Agreement immediately. Failure by either party to remove such excluded individual immediately shall provide the other party the right to terminate this Agreement immediately for cause.

G. Each party must comply with Title IX of the Education Amendments Act of 1972

(“Title IX”). When a party receives information, knows, or should know of possible sexual misconduct related to any student covered under this Agreement, the party must promptly and effectively respond to the allegations. The parties agree to cooperate in good faith to coordinate efforts when responding to allegations of sexual misconduct involving any student who is participating in the Program. Depending on the circumstances, such response may include, but is not limited to, providing interim measures, providing information related to resources and support, conducting an investigation, adjudicating the claim, and/or implementing sanctions. When coordinating, the parties will work together to determine ways to proceed and the best way to obtain information about the facts and circumstances giving rise to the complaint or notice of alleged sexual misconduct, which, by way of example only, may mean that the institution where the alleged misconduct occurred leads the investigation, with the assistance of the other party.

H. In the event that a student fails to follow CFH policies, procedures and/or protocols, UNMC shall be notified. UNMC and CFH will work together to create a corrective action plan that may lead to removal of the student from CFH.

III. MISCELLANEOUS:

A. This Agreement shall be interpreted in accordance with and pursuant to the laws of the

State of Nebraska without regard to its conflicts of laws principles. UNMC does not waive its governmental immunity by entering into this Agreement and fully retains all immunities and defenses by law with regard to action based on this Agreement.

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

B. No agency, partnership or joint venture is created by this Agreement and the parties affirmatively disclaim any intent to form such relationship. Neither party has the authority to bind the other.

C. The terms of this Agreement are severable. If any term or provision is declared by a court of competent jurisdiction to be illegal, void or unenforceable, the remainder of the provisions shall continue to be valid and enforceable.

D. A waiver of any term or provision of this Agreement by one party shall not be deemed to be a waiver of such provision on any subsequent breach of the same or any other provision contained in this Agreement. Any such waiver must be in writing in order to be effective and no such waiver(s) shall serve to establish a course of performance between the parties contradictory to the terms hereof.

E. This Agreement constitutes the entire agreement between UNMC and CFH with respect to the subject matter contained herein and may not be amended except by an agreement signed by authorized representatives of the parties.

F. This Agreement may be executed in counterparts, including by electronically scanned or email signatures, each of which shall be on original and which together shall constitute a single agreement.

Signature Page to Follow

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

Board of Regents of

The University of Nebraska Carle Foundation Hospital

H. Dele Davies, MD, MSc, MHCM Name: Kayla Banks

Senior Vice Chancellor for Academic Affairs Title: VP Women’s, Children’s &

Dean for Graduate Studies Diagnostic Services

Date: __________________________ Date: ________________________

Acknowledged by:

Patricia O’Neil, MPA

Associate Dean for Business & Finance

College of Allied Health Professions

Date: __________________________

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1D

6/22/2022

DocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

6/27/2022

6/28/2022

Exhibit A

FINANACIAL ARRANGEMENTS

Students/trainees enrolled in UNMC’s Cytotechnology program shall pay UNMC tuition and

Student Fees as negotiated by UNMC and CFH each academic year. UNMC shall remit fifty percent (50%) of tuition for the academic year 2021-2022; forty percent (40%) for the academic year 2022-2023; and thirty percent (30%) beginning from the academic year 2023-2024, and accreditation fees, as well as the Cytotechnology Course Fees as identified below to CFH within

60 days of each semester drop date, as defined by UNMC’s published academic calendar.

UNMC Program Fee:

Estimated tuition per student for Academic Year 2021-2022: $17,300/year. Fifty percent (50%) of paid tuition less applicable administrative and accreditation fees will be distributed to CFH for services provided. The tuition may change each year; CFH will be notified each summer of the new rate, if applicable.

Note: The current post-baccalaureate program is transitioning to a Masters Degree with the

2022-2023 entering class. A tuition increase reflective of the added credit hours and advanced degree is anticipated but will not be known until late June 2022.

UNMC Student Fees:

Trainees located at CFH are subject to all UNMC Student Fees, as approved annually by the

University of Nebraska Board of Regents (e.g., library, technology, insurance, etc.). Estimated

Student Fees for Academic Year 2021-2022: $5,400

Note: All fees are subject to change annually.

Note: The current post-baccalaureate program is transitioning to a Masters Degree with the

2022-2023 entering class. An increase in course fees reflective of the added credit hours is anticipated but will not be known until late June 2022.

Textbooks:

Trainees are responsible for purchasing their own textbooks

Administrative Fee Schedule:

Due to the long-term relationship that exists between UNMC and CFH the administrative fee is waived for academic year 2021-2022.

Accreditation Fee: $500/year (Fall semester only)

Cytotechnology Course Fees Remitted to CFH

CYTO Fall lab fee $60.00/student

CYTO Spring lab fee $60.00/student

Microscope rental/cleaning fees $225.00/student ($125 Fall/$100 Spring)

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079

Exhibit B

Background Check

UNMC requires background checks on all newly admitted students, and reserves the right to rescind an offer of admission or progression, or to place monitoring requirements on any individual whose background investigation reveals a history of criminal conduct, as defined in the UNMC Background Check Policy, which may be accessed at this URL:

http://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/

The CAHP specifies that One Source carry out this initial background check. The report provided by One Source includes the following background verification and investigation services:

Social Security Trace

County Criminal - Statewide If Available

Nationwide Criminal

National Sex Offender Registry

Federal Criminal Search

Global Report

Office of Inspector General Department of Health & Human Services (OIG)

System for Award Management (SAM)

NE Department of Health & Human Services Adult & Child Abuse & Neglect

Registry 1.0

DocuSign Envelope ID: 570C8008-0D09-4041-BDA8-99EA97233D1DDocuSign Envelope ID: EB437617-6863-41BB-8D6B-3E7DF3D90079 http://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ http://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/

Certificate Of Completion Envelope Id: 930C3A7C-9156-49FB-9892-08F402F0B6EB Status: Completed

Subject: CW28684 - CW28684.pdf

Source Envelope:

Document Pages: 19 Signatures: 3 Envelope Originator:

Certificate Pages: 5 Initials: 0 Michael Hendrickson

AutoNav: Enabled

EnvelopeId Stamping: Disabled

Time Zone: (UTC-08:00) Pacific Time (US & Canada)

1400 R Street

LINCOLN, NE 68588

michaelhendrickson@nebraska.edu

IP Address: 35.223.106.21

Record Tracking Status: Original

3/18/2025 1:45:16 PM

Holder: Michael Hendrickson michaelhendrickson@nebraska.edu

Location: DocuSign

Signer Events Signature Timestamp Patricia O'Neil paoneil@unmc.edu

Assoc. Dean for Business & Finance

Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style

Using IP Address: 192.94.102.2

Sent: 3/18/2025 1:49:21 PM

Viewed: 3/18/2025 3:08:34 PM

Signed: 3/18/2025 3:08:52 PM

Electronic Record and Signature Disclosure:

Accepted: 3/18/2025 3:08:34 PM ID: b7580ada-ba37-45c3-9ef0-eff2a35a5e55

Caleb Miller

Caleb.miller@carle.com

SVP Diagnostic Services

Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style

Using IP Address: 99.65.212.189

Signed using mobile

Sent: 3/18/2025 3:08:54 PM

Resent: 4/3/2025 5:03:38 PM

Viewed: 4/3/2025 5:18:36 PM

Signed: 4/3/2025 5:18:45 PM

Electronic Record and Signature Disclosure:

Accepted: 4/3/2025 5:18:36 PM ID: fe6f8150-aab3-4169-aa0b-93d38eb0e002

Michael Hrncirik mhrncirik@unmc.edu

Assistant Vice Chancellor for Business F

University of Nebraska Medical Center

Security Level: Email, Account Authentication (None)

Signature Adoption: Pre-selected Style

Using IP Address: 192.94.102.0

Sent: 4/3/2025 5:18:47 PM

Viewed: 4/4/2025 7:54:50 AM

Signed: 4/4/2025 7:58:37 AM

Electronic Record and Signature Disclosure:

Accepted: 4/4/2025 7:54:50 AM ID: be1e397d-1e36-4983-9cd0-ac03ffd18c21

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status Timestamp

Witness Events Signature Timestamp

Notary Events Signature Timestamp

Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/18/2025 1:49:22 PM

Envelope Updated Security Checked 4/3/2025 5:03:37 PM

Envelope Updated Security Checked 4/3/2025 5:03:37 PM

Envelope Updated Security Checked 4/3/2025 5:03:37 PM

Certified Delivered Security Checked 4/4/2025 7:54:50 AM

Signing Complete Security Checked 4/4/2025 7:58:37 AM

Completed Security Checked 4/4/2025 7:58:37 AM

Payment Events Status Timestamps

Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, NU Contracts+Ariba (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature

Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies

At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time

(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a

$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind

If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically

Electronic Record and Signature Disclosure created on: 5/16/2023 6:53:28 PM Parties agreed to: Patricia O'Neil, Caleb Miller, Michael Hrncirik

Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given

us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact NU Contracts+Ariba:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: richard.horner@nebraska.edu

To advise NU Contracts+Ariba of your new email address

To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at richard.horner@nebraska.edu and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from NU Contracts+Ariba

To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with NU Contracts+Ariba

To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;

ii. send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software

The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically

To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:

You can access and read this Electronic Record and Signature Disclosure; and

You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and

Until or unless you notify NU Contracts+Ariba as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by NU Contracts+Ariba during the course of your relationship with NU

Contracts+Ariba.

https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements